,,ii  #aad? ,,congress  #b;d ,session   
,s4 #ceai  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #g1 #bjaf ,ms4
 ,heitkamp 7= h]self1 ,mr4 ,durb91 &    
,mr4 ,frank57 introduc$ ! foll[+ bill2  
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to      
address ! psy*ological1 social1 &       
emotional ne$s ( *ildr51 y\?1 & families
 :o h exp]i5c$ trauma1 & = o!r purposes4
  #a4 ,%ort title  ,?is ,act may be cit$
 z ! ,trauma-,in=m$ ,c>e = ,*ildr5 &    
,families ,act ( #bjaf4  ,i ,developm5t 
( be/ practices  #aja4 ,task =ce to     
develop be/ practices = trauma-in=m$    
id5tification1 ref]ral1 & support  7a7  
,e/abli%m5t ( task =ce ,to id5tify1     
evaluate1 recomm5d1 ma9ta91 & update be/
 practices  7#a7 ,e/abli%m5t ,!re is    
e/abli%$ a task =ce1 to be kn[n z !     
,int]ag5cy ,task ,=ce on ,trauma-,in=m$ 
,c>e4  7#b7 ,ma9 duties ,! task =ce     
%all-- 7,a7 id5tify1 evaluate1 recomm5d1
 ma9ta91 & update1 z describ$ 9         

subsection 7c7 & 9 accordance )         
subsection 7d71 a set ( be/ practices ) 
respect to *ildr5 & y\?1 & _! families z
 appropriate1 :o h exp]i5c$ or are at   
risk ( exp]i5c+ trauma2 &  7,b7 c>ry out
 o!r duties z describ$ 9 subsection 7c74
  7b7 ,task =ce composition  7#a7       
,composition ,! task =ce %all be compos$
 ( ,f$]al employees1 consi/+ ( !        
,adm9i/rator ( ! ,sub/ance ,abuse &     
,m5tal ,heal? ,s]vices ,adm9i/ration    
7ref]r$ to 9 ?is section z !            
,adm9i/rator7 & #a repres5tative ( ea*  
(--  7,a7 ! ,national ,c5t] = ,injury   
,prev5tion & ,control ( ! ,c5t]s =      
,disease ,control & ,prev5tion2  7,b7 ! 
,mat]nal & ,*ild ,heal? ,bureau ( !     
,heal? ,res\rces & ,s]vices             
,adm9i/ration2  7,c7 ! ,c5t] = ,m$icaid 
& ,,*ip ,s]vices2  7,d7 ! ,national     
,in/itute ( ,m5tal ,heal?2  7,e7 !      
,eunice ,k5n$y ,%riv] ,national         
,in/itute ( ,*ild ,heal? & ,human       
,developm5t2  7,f7 ! ,national ,in/itute
 on ,drug ,abuse2  7,g7 ! ,national     

,in/itute on ,alcohol ,abuse &          
,alcoholism2  7,h7 ! ,adm9i/ration on   
,*ildr51 ,y\? & ,families ( !           
,adm9i/ration = ,*ildr5 & ,families2    
7,i7 ! ,adm9i/ration = ,native ,am]icans
 ( ! ,adm9i/ration = ,*ildr5 &          
,families2  7,j7 ! ,(fice ( ,*ild ,c>e (
 ! ,adm9i/ration = ,*ildr5 & ,families2 
7,k7 ! ,(fice ( ,head ,/>t ( !          
,adm9i/ration = ,*ildr5 & ,families2    
7,l7 ! ,(fice ( ,refugee ,resettlem5t ( 
! ,adm9i/ration = ,*ildr5 & ,families2  
7,m7 ! ,indian ,heal? ,s]vice ( !       
,dep>tm5t ( ,heal? & ,human ,s]vices2   
7,n7 ! ,(fice ( ,m9ority ,heal? ( !     
,dep>tm5t ( ,heal? & ,human ,s]vices2   
7,o7 ! ,(fice ( ,juv5ile ,ju/ice &      
,del9qu5cy ,prev5tion ( ! ,dep>tm5t (   
,ju/ice2  7,p7 ! ,(fice ( ,community    
,ori5t$ ,polic+ ,s]vices ( ! ,dep>tm5t (
 ,ju/ice2  7,q7 ! ,national ,c5t] =     
,education ,evaluation & ,regional      
,assi/ance ( ! ,dep>tm5t ( ,education2  
7,r7 ! ,(fice ( ,safe & ,heal?y ,/ud5ts 
( ! ,dep>tm5t ( ,education2  7,s7 !     

,(fice ( ,special ,education &          
,rehabilitative ,s]vices ( ! ,dep>tm5t (
 ,education2  7,t7 ! ,(fice ( ,indian   
,education ( ! ,dep>tm5t ( ,education2  
7,u7 ! ,bureau ( ,indian ,affairs ( !   
,dep>tm5t ( ! ,int]ior2  7,v7 ! ,bureau 
( ,indian ,education ( ! ,dep>tm5t ( !  
,int]ior2  7,w7 ! ,vet]ans ,heal?       
,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans  
,affairs2 &  7,x7 su* o!r ,f$]al ag5cies
 z-- 7i7 ! ,adm9i/rator recomm5ds to !  
,presid5t2 &  7ii7 ! ,presid5t det]m9es 
to be appropriate4  7#b7 ,appo9tm5t     
7,a7 ,9 g5]al ,ea* memb] ( ! task =ce1  
o!r ?an ! ,adm9i/rator1 %all be appo9t$ 
by ! ,secret>y or o!r head ( ! entire   
,f$]al ag5cy t conta9s ! (fice or o!r   
unit ( gov]nm5t t ! memb] repres5ts4    
7,b7 ,date ( appo9tm5ts ,! heads (      
,f$]al ag5cies ) appo9t+ au?ority "u ?is
 p>agraph %all appo9t ! correspond+     
memb]s ( ! task =ce n lat] ?an #f mon?s 
aft] ! date ( enactm5t ( ?is ,act4  7#c7
 ,*airp]son ,! task =ce %all be *air$ by
 ! ,adm9i/rator4  7c7 ,task =ce duties  

,! task =ce %all--  7#a7 n lat] ?an #a  
ye> aft] ! date ( enactm5t ( ?is ,act1 &
 n less (t5 ?an annually !reaft]--  7,a7
 id5tify & evaluate a set ( evid5ce-bas$
 & evid5ce-in=m$ be/ practices1 :i* may 
include practices already develop$ by ! 
,dep>tm5t ( ,heal? & ,human ,s]vices1 ! 
,dep>tm5t ( ,ju/ice1 ! ,dep>tm5t (      
,education1 or ano!r ,f$]al ag5cy1 )    
respect to--  7i7 ! e>ly id5tification (
 *ildr5 & y\?1 & _! families z          
appropriate1 :o h exp]i5c$ or are at    
risk ( exp]i5c+ trauma2  7ii7 !         
exp$iti\s ref]ral ( su* *ildr5 & y\?1 & 
_! families z appropriate1 t require    
specializ$ s]vices to ! appropriate     
trauma-in=m$ support 7includ+ treatm5t7 
s]vices1 9 accordance ) applicable      
privacy laws2 &  7iii7 ! implem5tation (
 trauma-in=m$ approa*es & int]v5tions 9 
*ild & y\?-s]v+ s*ools1 organizations1  
homes1 & o!r sett+s to fo/] safe1 /able1
 & nurtur+ environm5ts & relation%ips t 
prev5t & mitigate ! effects ( trauma2   
7,b7 recomm5d su* set ( be/ practices1  

includ+ dissem9at+ ! set1 to ! ,dep>tm5t
 ( ,heal? & ,human ,s]vices1 ! ,dep>tm5t
 ( ,ju/ice1 ! ,dep>tm5t ( ,education1   
o!r ,f$]al ag5cies z appropriate1 ,/ate1
 tribal1 & local gov]nm5t ag5cies1      
includ+ ,/ate1 local1 & tribal          
educational ag5cies1 & o!r entities     
7includ+ recipi5ts ( relevant ,f$]al    
grants1 pr(essional associations1 heal? 
pr(essional organizations1 national &   
,/ate accr$itation bodies1 & s*ools7 t !
 ,adm9i/rator det]m9es to be            
appropriate1 & to ! g5]al public2 &     
7,c7 ma9ta9 & update1 z appropriate1 !  
set ( be/ practices recomm5d$ "u        
subp>agraph 7,b72  7#b7 n lat] ?an ea*  
date on :i* ! task =ce dissem9ates a set
 ( be/ practices "u p>agraph 7#a77;,b71 
prep>e & submit to ,congress a report   
conta9+ a description ( ! set2 &  7#c7 n
 lat] ?an #a ye> aft] ! date ( enactm5t 
( ?is ,act1 & z (t5 z practicable b n   
less (t5 ?an annually !reaft]1          
coord9ate1 among ! (fices & o!r units ( 
gov]nm5t repres5t$ on ! task =ce1       

rese>*1 to ! ext5t feasible1 &          
evaluation reg>d+ models describ$ 9     
subsection 7d77#a77;,c71 id5tify gaps 9 
or populations or sett+s n s]v$ by      
models describ$ 9 t subsection1 solicit 
fe$back on ! models1 f ! /akehold]s     
describ$ 9 subsection 7d77#a77;,b71     
coord9ate1 among ! (fices & o!r units ( 
gov]nm5t repres5t$ on ! task =ce1 !     
aw>d+ ( grants relat$ to prev5t+ &      
mitigat+ trauma1 & e/abli% proc$ures to 
enable ! (fices & units ( gov]nm5t to   
%>e te*nical exp]tise relat$ to prev5t+ 
& mitigat+ trauma4  7d7 ,be/ practices  
7#a7 ,9 g5]al ,9 id5tify+1 evaluat+1    
recomm5d+1 ma9ta9+1 & updat+ ! set ( be/
 practices "u subsection 7c71 ! task =ce
 %all--  7,a7 consid] f9d+s f           
evid5ce-bas$ & evid5ce-in=m$ models1    
includ+ f in/itutions ( high] education1
 community practice 7includ+ tribal     
exp]i5ce71 recogniz$ pr(essional        
associations1 & programs ( ! ,dep>tm5t (
 ,heal? & ,human ,s]vices1 ! ,dep>tm5t (
 ,ju/ice1 ! ,dep>tm5t ( ,education1 &   

o!r ,f$]al ag5cies1 t reflect ! sci5ce (
 heal?y *ild1 y\?1 & family developm5t1 
& h be5 develop$1 implem5t$1 & evaluat$ 
to demon/rate effectiv5ess & positive   
measurable outcomes2  7,b7 engage )1 &  
solicit & receive fe$back f1 faculty at 
in/itutions ( high] education1 community
 practition]s associat$ ) ! community   
practice describ$ 9 subp>agraph 7,a71 & 
recogniz$ pr(essional associations t    
repres5t ! exp]i5ce & p]spectives (     
individuals :o provide s]vices 9 cov]$  
sett+s1 to obta9 obs]vations & practical
 recomm5dations on ! be/ practices2     
7,c7 ensure t ! be/ practices include   
culturally s5sitive1 l+ui/ically        
appropriate1 & age- & g5d]-relevant     
models = sett+s 9 :i* individuals may   
come into contact ) *ildr5 & y\?1 & _!  
families z appropriate1 :o h exp]i5c$ or
 are at risk ( exp]i5c+ trauma1 includ+ 
s*ools1 hospitals1 sett+s :]e heal? c>e 
provid]s1 includ+ prim>y c>e & p$iatric 
provid]s1 provide s]vices1 pres*ool &   
e>ly *ildhood education & c>e sett+s1   

home visit+ sett+s1 aft]-s*ool program  
facilities1 *ild welf>e ag5cy           
facilities1 public heal? ag5cy          
facilities1 m5tal heal? treatm5t        
facilities1 sub/ance abuse treatm5t     
facilities1 fai?-bas$ in/itutions1      
juv5ile ju/ice sy/em facilities1 & law  
en=cem5t ag5cy facilities2  7,d7        
recomm5d be/ practices t are            
evid5ce-bas$ or evid5ce-in=m$ & include 
guidel9es =-- 7i7 7,i7 tra9+ ( front-l9e
 s]vice provid]s1 includ+ tea*]s1       
provid]s f *ild- or y\?-s]v+            
organizations1 heal? c>e provid]s1 &    
fir/ respond]s1 9 id5tify+ e>ly signs & 
risk factors ( trauma 9 *ildr5 & y\?1 & 
_! families z appropriate1 includ+ ?r\gh
 scre5+ processes2 &  7,,ii7 implem5t+  
appropriate responses2  7ii7 me*anisms  
t-- 7,i7 are proc$ures or sy/ems1 & are 
design$ to quickly ref] *ildr5 & y\?1 & 
_! families z appropriate1 :o h exp]i5c$
 or are at risk ( exp]i5c+ trauma to1 & 
ensure ! *ildr51 y\?1 & appropriate     
family memb]s receive1 ! appropriate    

trauma-in=m$ scre5+ & support1 includ+  
treatm5t2 or  7,,ii7 use p>tn]%ips t--  
7aa7 include cov]$ recipi5ts2  7bb7     
include local organizations or cl9ical  
s]vice provid]s ) exp]tise 9 furni%+    
support s]vices 7includ+ treatm5t7 to   
prev5t or mitigate ! effects ( trauma2  
7cc7 may be p>tn]%ips t co-locate       
s]vices1 su* z by provid+ s]vices at    
s*ool-bas$ heal? c5t]s2 &  7dd7 are     
design$ to make su* quick ref]rals1 &   
ensure ! receipt ( scre5+ & support1    
describ$ 9 subclause 7,i72  7iii7       
l>ge-scale int]v5tions = und]s]v$       
communities t h fac$ trauma ?r\gh acute 
or long-t]m exposure to sub/antial      
discrim9ation1 hi/orical or cultural    
oppression1 int]g5]ational pov]ty1 civil
 unre/1 or a high rate ( viol5ce2  7iv7 
multig5]ational int]v5tions to-- 7,i7   
support1 includ+ ?r\gh skills build+1   
p>5ts 7includ+ expect+ p>5ts71 gu>dians1
 adult c>egiv]s1 & educators 9 fo/]+    
safe1 /able1 & nurtur+ environm5ts &    
relation%ips t prev5t & mitigate trauma 

= *ildr5 & y\? :o h exp]i5c$ or are at  
risk ( exp]i5c+ trauma2  7,,ii7 assi/   
p>5ts & gu>dians 9 le>n+ to access      
res\rces relat$ to su* prev5tion &      
mitigation2 &  7,,iii7 provide tools to 
prev5t & address c>egiv] or second>y    
trauma1 z appropriate2  7v7 assi/+ p>5ts
 & gu>dians 9 und]/&+ eligibility = &   
obta9+ c]ta9 heal? b5efits cov]age1     
includ+ cov]age "u a ,/ate ,m$icaid plan
 "u title ,,xix ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acif et seq47 (    
scre5+ & treatm5t = *ildr5 & y\?1 & _!  
families z appropriate1 :o h exp]i5c$ or
 are at risk ( exp]i5c+ trauma2  7vi7   
utiliz+ subcl9ical provid]s 7includ+    
pe]s ?r\gh pe] support models1 m5tors1  
cl]gy1 & o!r community figures71 to--   
7,i7 exp$iti\sly l9k *ildr5 & y\?1 & _! 
families z appropriate1 :o h exp]i5c$ or
 are at risk ( exp]i5c+ trauma1 to !    
appropriate trauma-in=m$ scre5+ &       
support 7includ+ cl9ical treatm5t7      
s]vices2 &  7,,ii7 provide ongo+ c>e or 
case managem5t s]vices2  7vii7 collect+ 

& utiliz+ data f scre5+s1 ref]rals1 or !
 provision ( s]vices & supports1        
conduct$ 9 ! cov]$ sett+s1 to evaluate &
 improve processes = trauma-in=m$       
support & outcomes2  7viii7 7,i7 improv+
 discipl9>y practices 9 e>ly *ildhood   
education & c>e sett+s & s*ools1 includ+
 use ( positive discipl9>y /rategies t  
are effective at r$uc+ ! incid5ce (     
punitive s*ool discipl9>y actions1      
includ+ s*ool susp5sions & expulsions2 &
  7,,ii7 provid+ ! tra9+ describ$ 9     
clause 7i7 to *ild c>e provid]s & to    
s*ool p]sonnel1 includ+ s*ool res\rce   
(fic]s1 tea*] assi/ants1 adm9i/rators1 &
 heads ( *>t] s*ools2 &  7ix7           
incorporat+ trauma-in=m$ consid]ations  
into educational1 pres]vice1 & cont9u+  
education opportunities1 = ! use ( heal?
 pr(essional organizations1 national &  
,/ate accr$itation bodies = heal? c>e   
provid]s1 heal? pr(essional s*ools1 &   
o!r relevant tra9+ & educational        
entities2  7,e7 recomm5d be/ practices  
t-- 7i7 c be appli$ across und]s]v$     

geographic areas2 &  7ii7 engage entire 
organizations 9 tra9+ & skill build+    
relat$ to ! be/ practices2 &  7,f7      
recomm5d be/ practices t are design$ n  
to lead to unw>rant$ cu/ody loss or     
crim9al p5alties = p>5ts or gu>dians 9  
connection ) *ildr5 & y\? :o h exp]i5c$ 
or are at risk ( exp]i5c+ trauma4  7e7  
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re are au?oriz$ to be 
appropriat$ #c1jjj1jjj = fiscal ye>     
#bjag & #a1jjj1jjj = ea* ( fiscal ye>s  
#bjah ?r\gh #bjba4  7f7  ,def9itions ,9 
?is section3 7#a7 ,cov]$ recipi5t ,! t]m
 cov]$ recipi5t means a dep>tm5t or o!r 
entity describ$ 9 subsection            
7c77#a77;,b74  7#b7 ,cov]$ sett+ ,! t]m 
cov]$ sett+ means a sett+ describ$ 9    
subsection 7d77#a77;,c74  #ajb4 ,donald 
,j4 ,coh5 ,national ,*ild ,traumatic    
,/ress ,initiative ,section #ehb7;f7 ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bij;hh-#a7;f77 is am5d$ by   
/rik+ #ej1jjj1jjj = fiscal ye> #bjja1 & 
su* sums z may be necess>y = ea* (      

fiscal ye>s #bjjc ?r\gh #bjjf4 & ins]t+ 
#gj1jjj1jjj = ea* ( fiscal ye>s #bjag   
?r\gh #bjba4 ,( ! am\nts appropriat$ "u 
?is subsection = ea* ( fiscal ye>s #bjag
 ?r\gh #bjba1 #g1ejj1jjj %all be        
allocat$ to ! op]ation ( ! coord9at+    
c5t] ( ! ,national ,*ild ,traumatic     
,/ress ,initiative = purposes ( ga!r+ & 
report+ data1 evaluat+ models1 & provid+
 te*nical assi/ance44  ,,ii             
,dissem9ation & implem5tation ( be/     
practices  #bja4 ,use ( grant funds =   
tra9+ 9 be/ practices relat+ to *ild &  
y\? trauma & community support  7a7     
,head ,/>t ,act  7#a7 ,9 g5]al ,section 
#fdj7;a7 ( ! ,head ,/>t ,act 7#db       
,u4,s4,c4 #ihce7;a77 is am5d$-- 7,a7 by 
r$esignat+ p>agraph 7#g7 z p>agraph     
7#h72 &  7,b7 by ins]t+ aft] p>agraph   
7#f7 ! foll[+3  7#g7 ,any ( ! funds     
allocat$ "u ?is subsection = ,head ,/>t 
programs 7includ+ ,e>ly ,head ,/>t      
programs71 = tra9+ & te*nical assi/ance 
activities1 or = collaboration grants   
may be us$ to provide tra9+ =           

adm9i/rators & o!r /aff ( ,head ,/>t    
ag5cies 9 ! be/ practices develop$ "u   
section #aja ( ! ,trauma-,in=m$ ,c>e =  
,*ildr5 & ,families ,act ( #bjaf4  4    
7#b7 ,con=m+ am5dm5ts  7,a7 ,section    
#fdj7;a77#b77;,c77i7 ( ! ,head ,/>t ,act
 7#db ,u4,s4,c4 #ihce7;a77#b77;,c77i771 
9 ! matt] prec$+ subclause 7,i71 by     
ins]t+ aft] tra9+ & te*nical assi/ance  
activities ! foll[+3 7su* z tra9+ 9 !   
be/ practices develop$ "u section #aja (
 ! ,trauma-,in=m$ ,c>e = ,*ildr5 &      
,families ,act ( #bjaf74  7,b7 ,sections
 #fda;,a7h77#a77;,b7 & #fde7;d77#c7 ( ! 
,head ,/>t ,act 7#db ,u4,s4,c4          
#ihcf;a7h77#a77;,b71 #ihdj7;d77#c77 are 
am5d$ by /rik+ #fdj7;a77#g7 & ins]t+    
#fdj7;a77#h74  7,c7 ,section            
#fdb;,b7a77#b77;,b77i7 ( ! ,head ,/>t   
,act 7#db ,u4,s4,c4                     
#ihcg;b7a77#b77;,b77i77 is am5d$ by     
ins]t+ be=e ! semicolon ! foll[+3 7su* z
 by provid+ tra9+ = adm9i/rators & o!r  
/aff ( ^? ag5cies 9 ! be/ practices     
develop$ "u section #aja ( !            

,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf74  7,d7 ,section 
#fdh ( ! ,head ,/>t ,act 7#db ,u4,s4,c4 
#ihdc7 is am5d$-- 7i7 9 subsection      
7a77#c77;,b77i71 by ins]t+ aft] sy/ems !
 foll[+3 7su* z sy/ems t include tra9+ 9
 ! be/ practices develop$ "u section    
#aja ( ! ,trauma-,in=m$ ,c>e = ,*ildr5 &
 ,families ,act ( #bjaf72  7ii7 9       
subsection 7b77#b77;,c71 by ins]t+ be=e 
! semicolon ! foll[+3 7su* z tra9+ 9 !  
be/ practices develop$ "u section #aja (
 ! ,trauma-,in=m$ ,c>e = ,*ildr5 &      
,families ,act ( #bjaf72 &  7iii7 9     
subsection 7d77#a77;,g71 by ins]t+ aft] 
/aff tra9+ ! foll[+ 7su* z tra9+ 9 ! be/
 practices develop$ "u section #aja ( ! 
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf74  7b7 ,*ild ,c>e
 & ,developm5t ,block ,grant ,section   
#feh;,b ( ! ,*ild ,c>e & ,developm5t    
,block ,grant ,act ( #aiij 7#db         
,u4,s4,c4 #iheh7 is am5d$-- 7#a7 by     
/rik+ ,!re & ins]t+ ! foll[+3  7a7 ,9   
g5]al ,!re  2 &  7#b7 by add+ at ! end !

 foll[+3  7b7 ,be/ practices ,any ( !   
funds appropriat$ "u ?is section may be 
us$ to provide tra9+ 9 ! be/ practices  
develop$ "u section #aja ( !            
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf = adm9i/rators ( 
*ild c>e programs1 & *ild c>e provid]s1 
t receive assi/ance "u ?is sub*apt]4  4 
7c7 ,social ,s]vices ,block ,grant      
,section #bjjb7;a77#b77;,b7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acig;a7a77#b77;,b77 is am5d$-- 7#a7 9  
clause 7ii71 by /rik+ & aft] !          
semicolon2  7#b7 9 clause 7iii71 by     
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7#c7 by add+ at ! end ! foll[+ new      
clause3  7iv7 tra9+ = provid]s 9 ! be/  
practices develop$ "u section #aja ( !  
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  4  7d7 ,mat]nal
 & ,*ild ,heal? ,s]vices ,block ,grant  
,section #ejd ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #gjd7 is am5d$ by add+  
at ! end ! foll[+ new subsection3  7e7  
,a ,/ate may use a portion ( ! am\nts   

describ$ 9 subsection 7a7 = ! purpose ( 
provid+ tra9+ = lic5s$ heal? c>e        
provid]s & public heal? ag5cies 9 ! be/ 
practices develop$ "u section #aja ( !  
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  4  7e7         
,mat]nal1 ,infant1 & ,e>ly ,*ildhood    
,home ,visit+ 7,,mie*v7 ,section        
#eaa7;i77#b7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #gaa7;i77#b77 is am5d$-- 
7#a7 by r$esignat+ subp>agraphs 7,d7    
?r\gh 7,g7 z subp>agraphs 7,e7 ?r\gh    
7,h71 respectively2 &  7#b7 by ins]t+   
aft] subp>agraph 7,c7 ! foll[+ new      
subp>agraph3  7,d7 ,section #ejd7;e7    
7relat+ to ! use ( funds = tra9+ 9 ! be/
 practices develop$ "u section #aja ( ! 
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf74  4  7f7 ,*ild  
,welf>e ,s]vices ,section               
#dbb7;b77#d77;,b7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #fbb7;b77#d77;,b77  
is am5d$ by ins]t+ be=e ! semicolon 7:i*
 may include tra9+ 9 ! be/ practices    
develop$ "u section #aja ( !            

,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf74  7g7 ,,tanf    
,section #djd ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #fjd7 is am5d$ by add+  
at ! end ! foll[+ new subsection3  7l7  
,use ( funds = tra9+ 9 trauma-,in=m$ be/
 practices ,a ,/ate to :i* a grant is   
made "u section #djc may use ! grant to 
provide tra9+ = ,/ate & local (ficials  
responsible = adm9i/]+ ! ,/ate program  
fund$ "u ?is "p 9 ! be/ practices       
develop$ "u section #aja ( !            
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  4  7h7 ,f$]al  
paym5ts = fo/] c>e & adoption assi/ance 
,section #dgd7;a77#c77;,a7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#fgd7;a77#c77;,a77 is am5d$ by ins]t+ 1 
& includ+ tra9+ 9 ! be/ practices       
develop$ "u section #aja ( !            
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf aft] enroll$ 9   
su* in/itutions4  7i7 ,heal?y />t       
initiative ,section #ccj;,h7e7 ( !      
,public ,heal? ,s]vice ,act 7#db        

,u4,s4,c4 #bed;c-#h7;e77 is am5d$ by    
add+ at ! end ! foll[+3  7#c7 ,tra9+    
provid]s 9 be/ practices relat+ to      
trauma ,any ( ! funds appropriat$ "u    
p>agraph 7#a7 may be us$ to provide     
tra9+ = provid]s 9 ! be/ practices      
develop$ "u section #aja ( !            
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  4  7j7 ,block  
grants = community m5tal heal? s]vices  
,section #aibj ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7 is
 am5d$ by add+ at ! end ! foll[+3  7c7  
,tra9+ provid]s 9 be/ practices relat+  
to trauma ,any ( ! funds appropriat$ "u 
subsection 7a7 may be us$ to provide    
tra9+ = provid]s 9 ! be/ practices      
develop$ "u section #aja ( !            
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  4  7k7 ,block  
grants = prev5tion & treatm5t ( sub/ance
 abuse ,section #aice ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#ce7 
is am5d$ by add+ at ! end ! foll[+3  7c7
 ,allocations = tra9+ provid]s 9 be/    

practices relat+ to trauma ,any ( !     
funds appropriat$ "u subsection 7a7 may 
be us$ to provide tra9+ = provid]s 9 !  
be/ practices develop$ "u section #aja (
 ! ,trauma-,in=m$ ,c>e = ,*ildr5 &      
,families ,act ( #bjaf4  4  7l7 ,use (  
grant funds = tra9+ provid]s 9 be/      
practices relat+ to trauma  7#a7        
,s*ool-bas$ heal? c5t]s ,section        
#cii,z-#a7l7 ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bhj;h-#e7l77 is    
am5d$ by add+ ,any ( ! funds appropriat$
 "u ?is subsection may be us$ to provide
 tra9+ = provid]s 9 ! be/ practices     
develop$ "u section #aja ( !            
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4 aft] ! fir/     
s5t5ce4  7#b7 ,community heal? c5t]s    
,section #ccj7r7 ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bed;b7r77  
is am5d$ by add+ at ! end ! foll[+3     
7#e7 ,tra9+ provid]s 9 be/ practices    
relat+ to trauma ,any ( ! funds         
appropriat$ "u ?is subsection may be us$
 to provide tra9+ = provid]s 9 ! be/    

practices develop$ "u section #aja ( !  
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  4  7m7         
,support+ effective in/ruction2 local   
use ( funds ,section #bajc7;b77#c7 ( !  
,elem5t>y & ,second>y ,education ,act ( 
#aife 7#bj ,u4,s4,c4 #ffac7;b77#c77 is  
am5d$--  7#a7 9 subp>agraph 7,o71 by    
/rik+ & aft] ! semicolon2  7#b7 by      
r$esignat+ subp>agraph 7,p7 z           
subp>agraph 7,q72 &  7#c7 by ins]t+ aft]
 subp>agraph 7,o7 ! foll[+3  7,p7       
provid+ tra9+ = s*ool p]sonnel1 includ+ 
tea*]s1 pr9cipals1 o!r s*ool lead]s1    
specializ$ in/ructional support         
p]sonnel1 & p>apr(essionals1 9 ! be/    
practices develop$ "u section #aja ( !  
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf2 &  4  7n7 ,/ud5t
 support & academic enri*m5t  7#a7 ,/ate
 use ( funds ,section #dajd7;b7 ( !     
,elem5t>y & ,second>y ,education ,act ( 
#aife 7#bj ,u4,s4,c4 #gaad7;b77 is      
am5d$--  7,a7 9 p>agraph 7#b71 by /rik+ 
or at ! end2  7,b7 9 p>agraph 7#c7 by   

/rik+ ! p]iod at ! end & ins]t+ 2 or2 & 
7,c7 by add+ at ! end ! foll[+3  7#d7   
provid+ tra9+ = tea*]s1 adm9i/rators1   
s*ool c\nselors1 m5tal heal?            
pr(essionals1 & o!r appropriate p]sonnel
 9 ! be/ practices develop$ "u section  
#aja ( ! ,trauma-,in=m$ ,c>e = ,*ildr5 &
 ,families ,act ( #bjaf4  4  7#b7 ,local
 use ( funds ,p>agraph 7#e7 ( section   
#dajh ( ! ,elem5t>y & ,second>y         
,education ,act ( #aife 7#bj ,u4,s4,c4  
#gaah7 is am5d$--  7,a7 9 subp>agraph   
7,h71 by /rik+ or at ! end2  7,b7 9     
subp>agraph 7,i71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 or2 &  7,c7 by add+ at ! 
end ! foll[+3  7,j7 provid+ tra9+ =     
tea*]s1 adm9i/rators1 s*ool c\nselors1  
m5tal heal? pr(essionals1 & o!r         
appropriate p]sonnel 9 ! be/ practices  
develop$ "u section #aja ( !            
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  4  7o7 #ba/    
c5tury community le>n+ c5t]s  7#a7 ,/ate
 use ( funds ,section #dbjb7;c77#c7 ( ! 
,elem5t>y & ,second>y ,education ,act ( 

#aife 7#bj ,u4,s4,c4 #gagb7;c77#c77 is  
am5d$--  7,a7 by r$esignat+ subp>agraphs
 7,h71 7,i71 & 7,g71 z subp>agraphs     
7,g71 7,h71 & 7,i71 respectively2 &     
7,b7 by add+ at ! end ! foll[+3  7,j7   
,provid+ tra9+ = tea*]s1 adm9i/rators1  
s*ool c\nselors1 m5tal heal?            
pr(essionals1 & o!r appropriate p]sonnel
 7includ+ appropriate p]sonnel involv$ )
 programs & activities t advance /ud5t  
academic a*ievem5t & support /ud5t      
success dur+ nons*ool h\rs7 9 ! be/     
practices develop$ "u section #aja ( !  
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  4  7#b7 ,local 
use ( funds ,section #dbje7;a7 ( !      
,elem5t>y & ,second>y ,education ,act ( 
#aife 7#bj ,u4,s4,c4 #gage7;a77 is      
am5d$--  7,a7 9 p>agraph 7#ac71 by /rik+
 & at ! end2  7,b7 9 p>agraph 7#ad71 by 
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7,c7 by add+ at ! end ! foll[+3  7#ae7  
tra9+ = tea*]s1 adm9i/rators1 s*ool     
c\nselors1 m5tal heal? pr(essionals1 &  
o!r appropriate p]sonnel 9 ! be/        

practices develop$ "u section #aja ( !  
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  4  7p7         
,full-,s]vice community s*ools ,section 
#dfbe7;e7 ( ! ,elem5t>y & ,second>y     
,education ,act ( #aife 7#bj ,u4,s4,c4  
#gbge7;e77 is am5d$--  7#a7 9 p>agraph  
7#b71 by /rik+ & aft] ! semicolon2  7#b7
 by r$esignat+ p>agraph 7#c7 z p>agraph 
7#d72 &  7#c7 by ins]t+ aft] p>agraph   
7#b7 ! foll[+3  7#c7 provide tra9+ =    
tea*]s1 adm9i/rators1 s*ool c\nselors1  
m5tal heal? pr(essionals1 & o!r         
appropriate p]sonnel 7includ+           
appropriate p]sonnel involv$ ) !        
full-s]vice community s*ool7 9 ! be/    
practices develop$ "u section #aja ( !  
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf2 &  4  7q7       
,national ,activities = ,s*ools ,section
 #dfca7;a77#a77;,b7 ( ! ,elem5t>y &     
,second>y ,education ,act ( #aife 7#bj  
,u4,s4,c4 #gbha7;a77#a77;,b77 is am5d$  
by /rik+ or conduct+ a national         
evaluation4 & ins]t+ 1 conduct+ a       

national evaluation1 or provid+ tra9+ = 
tea*]s1 adm9i/rators1 s*ool c\nselors1  
m5tal heal? pr(essionals1 & o!r         
appropriate p]sonnel 9 ! be/ practices  
develop$ "u section #aja ( !            
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf44  7r7 ,,idea    
,section #fch ( ! ,individuals )        
,disabilities ,education ,act 7#bj      
,u4,s4,c4 #adch7 is am5d$-- 7#a7 9      
p>agraph 7#d71 by /rik+ & aft] !        
semicolon2  7#b7 9 p>agraph 7#e71 by    
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7#c7 by add+ at ! end ! foll[+3  7#f7 to
 provide tra9+ = appropriate p]sonnel :o
 provide direct e>ly int]v5tion s]vices 
= infants & toddl]s ) disabilities 9 !  
be/ practices develop$ "u section #aja (
 ! ,trauma-,in=m$ ,c>e = ,*ildr5 &      
,families ,act ( #bjaf4  4  7s7 ,special
 supplem5tal nutrition program = wom51  
infants1 & *ildr5 ,section #ag7;f7 ( !  
,*ild ,nutrition ,act ( #aiff 7#db      
,u4,s4,c4 #aghf7;f77 is am5d$ by add+ at
 ! end ! foll[+3  7#bg7 ,be/ practices  

,a ,/ate ag5cy may use a portion ( !    
am\nts made available to ! ,/ate ag5cy  
"u ?is section = ! purpose ( provid+    
tra9+ = local ag5cies 9 ! be/ practices 
develop$ "u section #aja ( !            
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  4  7t7         
,community s]vices block grant act  7#a7
 ,/ate activities ,section              
#fge;,c7b77#a77;,a7 ( ! ,community      
,s]vices ,block ,grant ,act 7#db        
,u4,s4,c4 #iijg7;b77#a77;,a77 is am5d$  
by ins]t+ aft] provid+ tra9+ ! foll[+3  
7:i* may include provid+ tra9+1 to !    
entities t are provid]s ( s]vices to    
*ildr5 & y\?1 9 ! be/ practices develop$
 "u section #aja ( ! ,trauma-,in=m$ ,c>e
 = ,*ildr5 & ,families ,act ( #bjaf74   
7#b7 ,national activities ,section      
#fgh;,a7a77#a77;,a7 ( ! ,community      
,s]vices ,block ,grant ,act 7#db        
,u4,s4,c4 #iiac7;a77#a77;,a77 is am5d$  
by ins]t+ aft] tra9+ ! foll[+3 7:i* may 
include provid+ tra9+1 to ! entities t  
are provid]s ( s]vices to *ildr5 & y\?1 

9 ! be/ practices develop$ "u section   
#aja ( ! ,trauma-,in=m$ ,c>e = ,*ildr5 &
 ,families ,act ( #bjaf74  7u7 ,runaway 
& homeless y\? act ,section #cdb ( !    
,runaway & ,homeless ,y\? ,act 7#db     
,u4,s4,c4 #egad-bb7 is am5d$ by ins]t+  
aft] te*nical assi/ance & tra9+ !       
foll[+3 7:i* may include provid+ tra9+1 
to provid]s ( s]vices "u ?is title1 9 ! 
be/ practices develop$ "u section #aja (
 ! ,trauma-,in=m$ ,c>e = ,*ildr5 &      
,families ,act ( #bjaf74  7v7 ,programs 
( ! (fice ( refugee resettlem5t ,section
 #dfb7;b77#a7 ( ! ,homel& ,security ,act
 ( #bjjb 7#f ,u4,s4,c4 #bgi7;b77#a77 is 
am5d$-- 7#a7 9 subp>agraph 7,k71 by     
/rik+ & at ! end2  7#b7 9 subp>agraph   
7,l71 by /rik+ ! p]iod & ins]t+ 2 &2 &  
7#c7 by add+ at ! end ! foll[+3  7,m7 at
 ! election ( ! ,director1 provid+      
tra9+1 to provid]s responsible = ! c>e (
 ! unaccompani$ ali5 *ildr51 9 ! be/    
practices develop$ "u section #aja ( !  
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  4  7w7 ,family 

viol5ce prev5tion & s]vices act  7#a7   
,prev5tion & supportive s]vices ,section
 #cjh7;b77#a77;,d7 ( ! ,family ,viol5ce 
,prev5tion & ,s]vices ,act 7#db         
,u4,s4,c4 #ajdjh7;b77#a77;,d77 is am5d$ 
by ins]t+ be=e ! semicolon ! foll[+3 1 &
 provision ( tra9+ to provid]s 9 ! be/  
practices develop$ "u section #aja ( !  
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  7#b7 ,national 
res\rce c5t] ,section                   
#caj7;b77#a77;,a77i7 ( ! ,family        
,viol5ce ,prev5tion & ,s]vices ,act 7#db
 ,u4,s4,c4 #ajdaj7;b77#a77;,a77i77 is   
am5d$ by ins]t+ be=e ! semicolon !      
foll[+3 1 & :i* may (f] tra9+ relat$ to 
! be/ practices develop$ "u section #aja
 ( ! ,trauma-,in=m$ ,c>e = ,*ildr5 &    
,families ,act ( #bjaf4  #bjb4          
,e/abli%m5t ( law en=cem5t *ild & y\?   
trauma coord9at+ c5t]  7a7 ,e/abli%m5t (
 ,c5t]  7#a7 ,9 g5]al ,! ,attorney      
,g5]al %all e/abli% a ,national ,law    
,en=cem5t ,*ild & ,y\? ,trauma          
,coord9at+ ,c5t] 7ref]r$ to 9 ?is       

section z ! ,c5t]7 to provide assi/ance 
to ,/ate1 local1 & tribal law en=cem5t  
ag5cies 9 int]act+ ) *ildr5 & y\? :o h  
be5 expos$ to viol5ce or o!r trauma1 &  
_! families z appropriate4  7#b7 ,age   
range ,! ,c5t] %all det]m9e ! age range 
( *ildr5 & y\? to be cov]$ by !         
activities ( ! ,c5t]4  7b7 ,duties ,!   
,c5t] %all provide assi/ance to ,/ate1  
local1 & tribal law en=cem5t ag5cies    
by--  7#a7 dissem9at+ in=mation on ! be/
 practices = law en=cem5t (fic]s        
develop$ "u section #aja1 :i* may       
include be/ practices bas$ on           
evid5ce-bas$ & evid5ce-in=m$ models f   
programs ( ! ,dep>tm5t ( ,ju/ice & !    
,(fice ( ,ju/ice ,s]vices ( ! ,bureau ( 
,indian ,affairs1 su* z--  7,a7 models  
develop$ 9 p>tn]%ip ) national law      
en=cem5t organizations1 ,indian tribes1 
or cl9ical rese>*]s2 &  7,b7 models t   
include-- 7i7 trauma-in=m$ approa*es to 
conflict resolution1 de-escalation1 &   
crisis int]v5tion tra9+2  7ii7 e>ly     
int]v5tions t l9k *ild & y\? witnesses &

 victims1 & _! families z appropriate1  
to appropriate trauma-in=m$ s]vices2 &  
7iii7 support+ (fic]s :o exp]i5ce       
second>y trauma2  7#b7 provid+          
pr(essional tra9+ & te*nical assi/ance2 
&  7#c7 aw>d+ grants "u subsection 7c74 
7c7 ,grant program  7#a7 ,9 g5]al ,!    
,attorney ,g5]al1 act+ ?r\gh ! ,c5t]1   
may aw>d grants to ,/ate1 local1 &      
tribal law en=cem5t ag5cies or to       
multidiscipl9>y consortia to--  7,a7    
enhance ! aw>5ess ( be/ practices       
develop$ "u section #aja = trauma-in=m$ 
responses to *ildr5 & y\? :o h be5      
expos$ to viol5ce or o!r trauma1 & _!   
families z appropriate2 &  7,b7 provide 
pr(essional tra9+ & te*nical assi/ance 9
 implem5t+ ! be/ practices describ$ 9   
subp>agraph 7,a74  7#b7 ,application    
,any ,/ate1 local1 or tribal law        
en=cem5t ag5cy seek+ a grant "u ?is     
subsection %all submit an application to
 ! ,attorney ,g5]al at su* "t1 9 su*    
mann]1 & conta9+ su* in=mation z !      
,attorney ,g5]al may require4  7#c7 ,use

 ( funds ,a grant aw>d$ "u ?is          
subsection may be us$ to-- 7,a7 provide 
tra9+ to law en=cem5t (fic]s on ! be/   
practices develop$ "u section #aja1     
includ+ h[ to id5tify e>ly signs (      
trauma & viol5ce exposure :5 int]act+ ) 
*ildr5 & y\?2 &  7,b7 e/abli%1 op]ate1 &
 evaluate a ref]ral & p>tn]%ip program )
 cl9ical m5tal heal? or social s]vice   
pr(essionals 9 ! community 9 :i* ! law  
en=cem5t ag5cy s]ves4  7d7 ,au?orization
 ( appropriations ,!re are au?oriz$ to  
be appropriat$ to ! ,attorney ,g5]al--  
7#a7 #ae1jjj1jjj = ea* ( fiscal ye>s    
#bjag ?r\gh #bjba to aw>d grants "u     
subsection 7c72 &  7#b7 #b1jjj1jjj = ea*
 ( fiscal ye>s #bjag ?r\gh #bjba = o!r  
activities ( ! ,c5t]4  #bjc4 ,grants to 
improve trauma support s]vices & m5tal  
heal? c>e = *ildr5 & y\? 9 educational  
sett+s ,"p ,a ( title ,,iv ( ! ,elem5t>y
 & ,second>y ,education ,act ( #aife    
7#bj ,u4,s4,c4 #gaja et seq47 is am5d$  
by add+ at ! end ! foll[+3  #c ,grants  
,to improve trauma support s]vices &    

m5tal heal? c>e = *ildr5 & y\? 9        
educational sett+s  #daca4 ,grants to   
improve trauma support s]vices & m5tal  
heal? c>e = *ildr5 & y\? 9 educational  
sett+s  7a7 ,grants1 contracts1 &       
coop]ative agreem5ts au?oriz$ ,!        
,secret>y is au?oriz$ to aw>d grants to1
 or ent] into contracts or coop]ative   
agreem5ts )1 ,/ate educational ag5cies1 
local educational ag5cies1 ,indian      
tribes or _! tribal educational ag5cies1
 a s*ool op]at$ by ! ,bureau ( ,indian  
,education1 or a ,regional ,corporation 
7z def9$ 9 section #c ( ! ,alaska       
,native ,claims ,settlem5t ,act 7#dc    
,u4,s4,c4 #afjb77 = ! purpose ( increas+
 /ud5t access to quality trauma support 
s]vices & m5tal heal? c>e by develop+   
innovative programs to l9k local s*ool  
sy/ems ) local trauma-in=m$ support &   
m5tal heal? sy/ems1 includ+ ^? "u !     
,indian ,heal? ,s]vice4  7b7 ,duration  
,) respect to a grant1 contract1 or     
coop]ative agreem5t aw>d$ or ent]$ into 
"u ?is section1 ! p]iod dur+ :i* paym5ts

 "u su* grant1 contract or agreem5t are 
made to ! recipi5t may n exce$ #e ye>s4 
7c7 ,use ( funds ,an entity t receives a
 grant1 contract1 or coop]ative agreem5t
 "u ?is section %all use am\nts made    
available ?r\gh su* grant1 contract1 or 
coop]ative agreem5t = any ( ! foll[+3   
7#a7 ,to enhance1 improve1 or develop   
collaborative ef=ts betwe5 s*ool-bas$   
s]vice sy/ems & trauma-in=m$ support &  
m5tal heal? s]vice sy/ems to provide1   
enhance1 or improve prev5tion1 scre5+1  
ref]ral1 & treatm5t s]vices to /ud5ts4  
7#b7 ,to enhance ! availability ( trauma
 support s]vices & s*ool-bas$ c\nsel+   
programs1 z well z provide appropriate  
ref]rals = /ud5ts pot5tially 9 ne$ (    
m5tal heal? s]vices1 & ongo+ m5tal heal?
 s]vices4  7#c7 ,to provide univ]sal    
trauma scre5+s to id5tify /ud5ts 9 ne$ (
 specializ$ support4  7#d7 ,to implem5t 
multi-ti]$ positive behavioral          
int]v5tions & supports1 or o!r          
trauma-in=m$ models ( support4  7#e7 ,to
 provide tra9+ to tea*]s1 tea*]         

assi/ants1 & o!r appropriate s*ool      
p]sonnel to develop safe1 /able1 &      
nurtur+ le>n+ environm5ts t prev5t &    
mitigate ! effects ( trauma1 includ+    
?r\gh social & emotional le>n+4  7#f7   
,to provide tra9+ & pr(essional         
developm5t = ! s*ool p]sonnel & m5tal   
heal? pr(essionals to improve s*ool     
capacity to id5tify1 ref]1 & provide    
s]vices1 z appropriate1 to /ud5ts 9 ne$ 
( trauma support or behavioral heal?    
s]vices4  7#g7 ,to provide te*nical     
assi/ance & consultation to s*ool sy/ems
 & m5tal heal? ag5cies z well z to      
families p>ticipat+ 9 ! program c>ri$   
out "u ?is section4  7#h7 ,to provide   
l+ui/ically appropriate & culturally    
compet5t s]vices4  7#i7 ,to evaluate !  
effectiv5ess ( ! program c>ri$ out "u   
?is section 9 increas+ /ud5t access to  
quality trauma support s]vices & m5tal  
heal? c>e1 & make recomm5dations to !   
,secret>y ab\t ! su/a9ability ( !       
program4  7#aj7 ,to engage & utilize    
exp]tise provid$ by in/itutions ( high] 

education1 su* z a ,tribal ,college or  
,univ]sity1 z def9$ 9 section #caf7;b7 (
 ! ,high] ,education ,act ( #aife4      
7#aa7 ,to provide tra9+s & implem5t     
proc$ures pursuant to ! relevant be/    
practices develop$ "u section #aja ( !  
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  7d7            
,applications ,to be eligible to receive
 a grant1 contract1 or coop]ative       
agreem5t "u ?is section1 an entity      
describ$ 9 subsection 7a7 %all submit an
 application to ! ,secret>y at su* "t1 9
 su* mann]1 & conta9+ su* in=mation z ! 
,secret>y may reasonably require1 su* z 
! foll[+3  7#a7 ,a description ( !      
program to be fund$ "u ! grant1         
contract1 or coop]ative agreem5t4  7#b7 
,a description ( h[ su* program w       
increase access to quality trauma       
support s]vices & m5tal heal? c>e =     
/ud5ts4  7#c7 ,a description ( h[ !     
applicant w e/abli% trauma support      
s]vices or a s*ool-bas$ c\nsel+ program1
 or bo?1 t provide imm$iate prev5tion & 

m5tal heal? s]vices to ! s*ool community
 z necess>y4  7#d7 ,an assurance t--    
7,a7 p]sons provid+ s]vices "u ! grant1 
contract1 or coop]ative agreem5t are    
adequately tra9$ to provide su* s]vices2
  7,b7 ! s]vices w be provid$ 9         
accordance ) subsection 7c72  7,c7      
tea*]s1 adm9i/rators1 p>5ts or gu>dians1
 repres5tatives ( local ,indian tribes1 
& o!r s*ool p]sonnel are aw>e ( !       
program2 &  7,d7 p>5ts or gu>dians (    
/ud5ts p>ticipat+ 9 s]vices "u ?is      
section w be engag$ & involv$ 9 ! design
 & implem5tation ( ! s]vices4  7#e7 ,an 
assurance t ! applicant w support &     
integrate exi/+ s*ool-bas$ s]vices ) !  
program 9 ord] to provide appropriate   
m5tal heal? s]vices = /ud5ts4  7#f7 ,an 
assurance t ! applicant w e/abli% a     
program t w support /ud5ts & ! s*ool 9  
improv+ ! s*ool climate 9 ord] to       
support an environm5t conducive to      
le>n+4  7e7 ,int]ag5cy agreem5ts  7#a7  
,designation ( lead ag5cy ,a recipi5t ( 
a grant1 contract1 or coop]ative        

agreem5t "u ?is section %all designate a
 lead ag5cy to direct ! e/abli%m5t ( an 
int]ag5cy agreem5t among local          
educational ag5cies1 juv5ile ju/ice     
au?orities1 m5tal heal? ag5cies1 & o!r  
relevant entities 9 ! ,/ate1 9          
collaboration ) local entities1 su* z   
,indian tribes4  7#b7 ,cont5ts ,!       
int]ag5cy agreem5t %all ensure !        
provision ( ! s]vices describ$ 9        
subsection 7c71 specify+ ) respect to   
ea* ag5cy1 au?ority1 or entity--  7,a7 !
 f9ancial responsibility = ! s]vices2   
7,b7 ! conditions & t]ms (              
responsibility = ! s]vices1 includ+     
quality1 acc\ntability1 & coord9ation ( 
! s]vices2 &  7,c7 ! conditions & t]ms (
 reimbursem5t among ! ag5cies1          
au?orities1 or entities t are p>ties to 
! int]ag5cy agreem5t1 includ+ proc$ures 
= dispute resolution4  7f7 ,evaluation  
,! ,secret>y %all evaluate ea* program  
c>ri$ out "u ?is section & %all         
dissem9ate ! f9d+s ) respect to ea* su* 
evaluation to appropriate public1       

tribal1 & private entities4  7g7        
,di/ribution ( aw>ds ,! ,secret>y %all  
ensure t grants1 contracts1 & coop]ative
 agreem5ts aw>d$ or ent]$ into "u ?is   
section are equitably di/ribut$ among ! 
geographical regions ( ! ,unit$ ,/ates &
 among tribal1 urban1 suburban1 & rural 
populations4  7h7 ,rule ( con/ruction   
,no?+ 9 ?is section %all be con/ru$--   
7#a7 to prohibit an entity involv$ ) a  
program c>ri$ out "u ?is section f      
report+ a crime t is committ$ by a /ud5t
 to appropriate au?orities2 or  7#b7 to 
prev5t ,/ate & tribal law en=cem5t &    
judicial au?orities f ex]cis+ _!        
responsibilities ) reg>d to !           
application ( ,f$]al1 tribal1 & ,/ate   
law to crimes committ$ by a /ud5t4  7i7 
,supplem5t1 n supplant ,any s]vices     
provid$ ?r\gh programs c>ri$ out "u ?is 
section %all supplem5t1 & n supplant1   
exi/+ m5tal heal? s]vices1 includ+ any  
s]vices requir$ to be provid$ "u !      
,individuals ) ,disabilities ,education 
,act4  7j7 ,consultation ) indian tribes

 ,9 c>ry+ out subsection 7a71 !         
,secret>y %all1 9 a timely mann]1       
mean+fully consult1 engage1 & coop]ate )
 ,indian tribes & _! repres5tatives to  
ensure notice ( eligibility4  7k7       
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #f1jjj1jjj = ! p]iod (      
fiscal ye>s #bjag ?r\gh #bjbb4  4  ,,iii
 ,und]/&+ ! ,scope ( ,trauma ,exposure  
#cja4 ,,cdc surveillance & data         
collection = *ild1 y\?1 & adult trauma  
7a7 ,data collection ,! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion 
7ref]r$ to 9 ?is section z ! ,director7 
%all au?orize & enc\rage ,/ates to      
collect & report data on adv]se *ildhood
 exp]i5ces ?r\gh ! ,behavioral ,risk    
,factor ,surveillance ,sy/em & ! ,y\?   
,risk ,behavior ,surveillance ,sy/em4 ,9
 collect+ & report+ su* data1 ,/ates    
%all use ! appropriate modules develop$ 
"u section #cjb7b77;,b71 9 addition to  
o!r appropriate modules4  7b7 ,tim+ ,!  
collection ( data au?oriz$ "u subsection

 7a7 may occur 9 fiscal ye> #bjai & e #b
 ye>s !reaft]4  7c7 ,data f tribal &    
rural areas ,! ,director %all require t 
ea* ,/ate1 9 collect+ data 9 accordance 
) subsection 7a71 ensure t1 z           
appropriate1 data f tribal & rural areas
 )9 su* ,/ate is includ$ by ov]sampl+ f 
su* areas4  7d7 ,au?orization (         
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$     
#fd1jjj1jjj = ! p]iod ( fiscal ye>s     
#bjai ?r\gh #bjba4  #cjb4 ,,cdc analysis
 ( *ild1 y\?1 & adult trauma ,!         
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion1 %all--  
7#a7 conduct an analysis (-- 7,a7 !     
preval5ce ( *ild1 y\?1 & adult trauma   
exp]i5c$ 9 ! ,unit$ ,/ates1 includ+     
assessm5ts ( ! types ( ! mo/ prom95t    
adv]se *ildhood exp]i5ces1 & disp>ities 
by race & e?nicity1 by geographic       
di/ribution1 & by socioeconomic /atus2  
7,b7 ! public heal? impact ( ! scope (  
exposure to adv]se *ildhood exp]i5ces1  

includ+ :e!r su* scope ( exposure to    
adv]se *ildhood exp]i5ces con/itutes a  
public heal? epidemic2  7,c7 modules t  
measure & assess adv]se *ildhood        
exp]i5ces1 = developm5t & ultimate      
inclusion 9 ! ,y\? ,risk ,behavior      
,surveillance ,sy/em2 &  7,d7 outcomes  
modules t measure & evaluate !          
utilization & efficacy ( trauma-in=m$   
int]v5tions1 su* z m5tal heal? s]vices  
or o!r cl9ical or sub-cl9ical c>e1 =    
ultimate inclusion 9 ! ,y\? ,risk       
,behavior ,surveillance ,sy/em & !      
,behavioral ,risk ,factor ,surveillance 
,sy/em2 &  7#b7 n lat] ?an #a ye> aft] !
 date ( enactm5t ( ?is ,act1 submit to  
,congress a report on ! analysis "u     
p>agraph 7#a7 t includes recomm5dations 
on--  7,a7 :at communities c d to prev5t
 adv]se *ildhood exp]i5ces & h[ ,indian 
tribes1 social s]vice provid]s1 law     
en=cem5t1 heal? c>e practition]s1 public
 heal? ag5cies1 educational in/itutions1
 & o!r community /akehold]s may         
collaborate to improve ef=ts to id5tify1

 connect to appropriate s]vices1 &      
provide treatm5t & support = *ildr5 &   
y\?1 & _! families z appropriate1 :o h  
exp]i5c$ or are at risk ( exp]i5c+      
trauma2  7,b7 modules = inclusion 9 !   
appropriate surveillance sy/ems1 z      
describ$ 9 subp>agraphs 7,c7 & 7,d7 (   
p>agraph 7#a72 &  7,c7 h[ ! ,c5t]s =    
,disease ,control & ,prev5tion c utilize
 data collect$ ?r\gh surveillance sy/ems
 to t>get specific populations or       
geographic locations ) a high incid5ce (
 measur$ ,adv]se ,*ildhood ,exp]i5ces1  
includ+ by consid]+ su* data :5 aw>d+   
grants & contracts to entities s]v+ su* 
populations or locations4  #cjc4        
,gov]nm5t acc\ntability /udy on b>ri]s  
to & opportunities = trauma-in=m$       
id5tification & treatm5t  7a7 ,/udy     
7#a7 ,9 g5]al ,! ,comptroll] ,g5]al %all
 conduct a /udy ( ! b>ri]s to1 & !      
opportunities = increas+1 ! e>ly        
id5tification & treatm5t ( *ildr5 & y\?1
 & _! families z appropriate1 :o h      
exp]i5c$ or are at risk ( exp]i5c+      

trauma4  7#b7 ,cont5ts ,9 conduct+ !    
/udy1 ! ,comptroll] ,g5]al %all exam9e--
 7,a7 ways 9 :i* su* id5tification &    
treatm5t c\ld be facilitat$ 9 e>ly      
*ildhood education & c>e sett+s &       
elem5t>y & second>y s*ools1 su* z ?r\gh 
improv$ tea*] prep>ation1 pr(essional   
developm5t1 & curriculum design1 & !    
developm5t ( ! cognitive &              
social-emotional skills ( /ud5ts2  7,b7 
7i7 ! ext5t to :i* ,/ate ,m$icaid plans 
use e>ly & p]iodic scre5+1 diagno/ic1 & 
treatm5t s]vices 7z def9$ 9 section     
#aije7r7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;d7r77 t are provid$ 9  
accordance ) ! requirem5ts ( section    
#aijb7;a77#dc7 ( su* ,act 7#db ,u4,s4,c4
 #acif;a7a77#dc777 to provide           
trauma-in=m$ s]vices to *ildr5 & y\?1 & 
_! families z appropriate1 :o h exp]i5c$
 or are at risk ( exp]i5c+ trauma2  7ii7
 b>ri]s to increas$ utilization ( su*   
scre5+1 diagno/ic1 & treatm5t s]vices2 &
  7iii7 ! impact ( ,/ate ,m$icaid plan  
design & ,/ate regulatory decisions on !

 provision ( su* s]vices2  7,c7 !       
feasibility (1 ,/ate exp]i5ces )1 &     
consid]ations reg>d+1 sy/ematic         
collection & %>+ ( data t--  7i7 is     
c>ri$ out by heal? c>e provid]s1 ,/ate1 
local1 & tribal educational ag5cies1    
social s]vice provid]s1 law en=cem5t1 & 
any o!r entity provid+ s]vices 9 a cov]$
 sett+ 7z def9$ 9 section #aja7;f772    
7ii7 relies on common data measures1    
fo/]s communication & coord9ation across
 cov]$ sett+s 7z s def9$71 & promotes   
%>$ acc\ntability = ! data2 &  7iii7    
relates to ! scre5+1 ref]ral1 & support 
( *ildr5 & y\?1 & _! families z         
appropriate1 :o h exp]i5c$ or are at    
risk ( exp]i5c+ trauma2  7,d7 privacy & 
cons5t issues affect+ id5tification &   
treatm5t ( *ildr5 & y\? :o h exp]i5c$ or
 are at risk ( exp]i5c+ trauma1 includ+ 
consid]ations reg>d+ in=mation collect$ 
& report$ by provid]s & reg>d+ p>5tal   
cons5t2  7,e7 7i7 ! compreh5sive1       
coord9at$1 & multisector process ?r\gh  
:i* ,/ate1 local1 & tribal educational  

ag5cies locate1 id5tify1 & scre5 infants
 & toddl]s ) disabilities1 & *ildr5 )   
disabilities 7includ+ su* *ildr5 :o are 
y\?71 "u ! ,individuals ) ,disabilities 
,education ,act 7#bj ,u4,s4,c4 #adjj et 
seq472 &  7ii7 consid]ations1 /rategies1
 alignm5t opportunities1 & applicability
 = trauma-in=m$ models = conduct+ su*   
location1 id5tification1 & scre5+2  7,f7
 7i7 cl9ical p$iatric m5tal heal? &     
*ild- & y\?-s]v+ social s]vice work=ce  
capacity1 includ+ analyz+ t capacity by 
sett+1 geographic di/ribution1 &        
population s]v$2 &  7ii7 b>ri]s t       
contribute to any %ortages 9            
pr(essionals 9 t work=ce2 &  7,g7 !     
co/-effectiv5ess & success ( provid+    
s]vices ?r\gh s*ool-bas$ heal? c5t]s z a
 me?od (--  7i7 address+ ! ne$s ( /ud5ts
 :o h exp]i5c$ or are at risk ( exp]i5c+
 trauma2 &  7ii7 improv+ _! academic    
a*ievem5t4  7b7 ,report ,! ,comptroll]  
,g5]al %all submit a report conta9+ !   
results ( ! /udy to--  7#a7 ! ,committee
 on ,appropriations1 ! ,committee on    

,heal?1 ,education1 ,labor1 & ,p5sions1 
! ,committee on ,f9ance1 ! ,committee on
 ,indian ,affairs1 & ! ,committee on !  
,judici>y ( ! ,s5ate2 &  7#b7 !         
,committee on ,appropriations1 !        
,committee on ,en]gy & ,comm]ce1 !      
,committee on ,education & ! ,work=ce1 !
 ,committee on ,ways & ,means1 !        
,committee on ,natural ,res\rces1 & !   
,committee on ! ,judici>y ( ! ,h\se (   
,repres5tatives4  7c7 ,def9itions ,9 ?is
 section3 7#a7 ,*ild ) a disability ,!  
t]m *ild ) a disability has ! mean+ giv5
 ! t]m 9 section #fjb ( ! ,individuals )
 ,disabilities ,education ,act 7#bj     
,u4,s4,c4 #adja74  7#b7 ,infant or      
toddl] ) a disability ,! t]m infant or  
toddl] ) a disability has ! mean+ giv5 !
 t]m 9 section #fcb ( ! ,individuals )  
,disabilities ,education ,act 7#bj      
,u4,s4,c4 #adcb74  ,,iv ,evaluation (   
new int]v5tions & improv+ s]vice deliv]y
  #dja4 ,cl>ification ( def9ition (     
,m$icaid ,,epsdt s]vices2 demon/ration  
project to te/ trauma-in=m$ deliv]y (   

,,epsdt s]vices  7a7 ,cl>ification (    
def9ition ( ,,epsdt s]vices ,section    
#aije7r7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;d7r77 is am5d$-- 7#a7 9
 p>agraph 7#a7--  7,a7 9 subp>agraph    
7,a77ii71 by ins]t+ 7includ+ 9 !        
imm$iate aft]ma? ( exposure to a        
traumatic ev5t7 aft] m$ically necess>y2 
&  7,b7 9 subp>agraph 7,b77i71 by ins]t+
 & any pa/ exposure to traumatic ev5ts  
aft] heal? developm5t2 &  7#b7 9        
p>agraph 7#e71 by ins]t+ includ+ any    
defects1 illnesses1 & conditions        
7includ+ symptoms ( a possible m5tal    
heal? disord] t are n suffici5tly acute 
= a diagnosis ( a cl9ical m5tal heal?   
disord]7 /emm+ f exposure to traumatic  
ev5ts1 aft] scre5+ s]vices14  7b7       
,trauma-,in=m$ deliv]y ( ,,epsdt s]vices
 demon/ration project  7#a7 ,9 g5]al ,! 
,secret>y %all make grants to ,/ates to 
conduct demon/ration projects "u title  
,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif et seq47 to te/         
innovative1 trauma-in=m$ approa*es =    

deliv]+ e>ly & p]iodic scre5+1          
diagno/ic1 & treatm5t s]vices 7z def9$ 9
 section #aije7r7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acif;d7r777 to     
eligible *ildr54  7#b7 ,scope & duration
  7,a7 ,scope ,! ,secret>y %all select  
#aj ,/ates to p>ticipate 9 !            
demon/ration project4  7,b7 ,selection  
7i7 ,div]sity ,9 select+ ,/ates to      
p>ticipate 9 ! demon/ration project1 !  
,secret>y %all--  7,i7 ensure t         
geographically div]se areas1 includ+    
rural & und]s]v$ areas1 are includ$2 &  
7,,ii7 include at lea/ #b ,/ates 9 :i*  
,indian tribes or tribal organizations  
7z def9$ 9 section #d ( ! ,indian ,heal?
 ,c>e ,improvem5t ,act 7#be ,u4,s4,c4   
#afjc77 are locat$4  7ii7 ,priority ,9  
select+ ,/ates to p>ticipate 9 !        
demon/ration project1 ! ,secret>y %all  
give priority to ,/ates t--  7,i7 use a 
value-bas$ paym5t me?odology = pay+     
provid]s = s]vices provid$ "u ! ,/ate   
,m$icaid program1 includ+ s]vices relat$
 to heal?y *ild developm5t2  7,,ii7 use 

an alt]native paym5t model "u ! ,/ate   
,m$icaid program t enables cross-sector 
collaboration1 provision ( trauma-in=m$ 
s]vices1 & supports = heal?y *ild       
developm5t2 or  7,,iii7 integrate       
in=mation te*nology betwe5 *ild- &      
y\?-s]v+ sectors to improve coord9ation 
& outcomes4  7,c7 ,duration ,!          
demon/ration project %all beg9 n lat]   
?an #a ye> aft] ! date ( ! enactm5t (   
?is ,act1 & %all be conduct$ = a p]iod (
 #d ye>s4  7#c7 ,requirem5ts ,to be     
eligible = a grant "u ?is subsection1 a 
,/ate t is p>ticipat+ 9 ! demon/ration  
project %all demon/rate t x has         
implem5t$ ! foll[+ measures ) respect to
 ! ,/ate ,m$icaid program3  7,a7 ,!     
,/ate ,m$icaid program all[s = !        
provision ( e>ly & p]iodic scre5+1      
diagno/ic1 & treatm5t s]vices--  7i7 9 a
 div]se set ( sett+s1 includ+ s*ools1   
hospitals1 prim>y c>e sett+s1           
,f$]ally-qualifi$ heal? c5t]s 7z def9$ 9
 section #aije7l77#b77;,b7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           

#acif;d7l77#b77;,b7771 & tribally op]at$
 heal? facilities1 )\t undue re/rictions
 on ! sett+s 9 :i* provid]s are p]mitt$ 
to furni% su* s]vices2 &  7ii7 by ! full
 scope ( provid]s t are lic5s$ or       
o!rwise au?oriz$ "u ,/ate law to provide
 ! s]vices1 includ+ pe]s ?r\gh eligible 
pe] support s]vices1 community heal?    
work]s1 or subcl9ical case manag]s4     
7,b7 ,:]e necess>y to improve or promote
 ! heal? ( an eligible *ild1 ! ,/ate    
,m$icaid program provides = paym5t =    
s]vices provid$ to ! p>5t ( ! *ild4     
7,c7 ,! ,/ate ,m$icaid program has      
proc$ures 9 place to coord9ate across   
sett+s1 includ+ ) law en=cem5t1 juv5ile 
ju/ice ag5cies1 s*ools 7includ+         
pres*ools & aft]-s*ool programs71       
hospitals1 prim>y c>e provid]s1 tribally
 op]at$ heal? facilities1 & *ild welf>e 
provid]s1 to ensure t eligible *ildr5 :o
 exp]i5ce trauma receive ! appropriate  
s]vices4  7,d7 ,:]e appropriate1 ! ,/ate
 ,m$icaid program coord9ates )          
facilities ( ! ,indian ,heal? ,s]vice   

7includ+ a hospital1 nurs+ facility1 or 
any o!r type ( facility :i* provides    
s]vices ( a type o!rwise cov]$ "u !     
program7 & o!r tribally op]at$ heal?    
facilities to ensure eligible *ildr5 h  
access to adequate qualifi$ provid]s t  
are lic5s$ or o!rwise au?oriz$ "u ,/ate 
law to furni% ! s]vices4  7#d7 ,fund+   
,out ( any funds 9 ! ,treasury n o!rwise
 appropriat$1 !re is appropriat$        
#ge1jjj1jjj = ! p]iod ( fiscal ye>s     
#bjag ?r\gh #bjba to c>ry out ?is       
subsection4  7#e7 ,def9itions ,9 ?is    
subsection3 7,a7 ,demon/ration project  
,! t]m demon/ration project means !     
demon/ration project e/abli%$ "u ?is    
subsection4  7,b7 ,eligible *ild ,! t]m 
eligible *ild means an individual :o is 
"u age #ba & :o is enroll$ 9 a ,/ate    
plan "u title ,,xix ( ! ,social         
,security ,act 7#db ,u4,s4,c4 #acif et  
seq474  7,c7 ,secret>y ,! t]m ,secret>y 
means ! ,secret>y ( ,heal? & ,human     
,s]vices4  7,d7 ,/ate ,m$icaid program  
,! t]m ,/ate ,m$icaid program means a   

,/ate plan or waiv] "u title ,,xix ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq474  7,e7 ,traumatic trigg] 
ev5t ,! t]m traumatic trigg] ev5t means 
a traumatic ev5t exp]i5c$ by a *ild1    
includ+-- 7i7 sexual abuse or           
maltreatm5t2  7ii7 sexual assault or    
rape2  7iii7 physical abuse or          
maltreatm5t2  7iv7 physical assault2    
7v7 emotional abuse or psy*ological     
maltreatm5t2  7vi7 neglect2  7vii7      
dome/ic viol5ce2  7viii7 w>1 t]rorism1  
or political viol5ce2  7ix7 illness or  
m$ical trauma2  7x7 accid5tal injury2   
7xi7 natural disa/]2  7xii7 kidnapp+ &  
traffick+2  7xiii7 traumatic loss1      
sep>ation1 or b]eavem5t2  7xiv7 =c$     
displacem5t2  7xv7 impair$ c>egiv]2     
7xvi7 p]sonal or int]p]sonal viol5ce2   
7xvii7 community viol5ce2  7xviii7 s*ool
 viol5ce & bully+2 &  7xix7 su* o!r     
ev5ts z ! ,secret>y %all det]m9e4  #djb4
 ,heal? pr(essional %ortage areas       
,section #ccb7;a7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bed;e7a77  

is am5d$-- 7#a7 9 p>agraph 7#b77;,a71 by
 ins]t+ 7includ+ a community heal? c5t] 
op]at$ 9 an elem5t>y or second>y s*ool7 
aft] community heal? c5t]2 &  7#b7 9    
p>agraph 7#c7-- 7,a7 by /rik+ 1 &       
resid5ts & ins]t+ 1 resid5ts2 &  7,b7 by
 ins]t+ 1 & a population gr\p t !       
,secret>y det]m9es has exp]i5c$ trauma  
7su* z ?r\gh acute or long-t]m exposure 
to sub/antial discrim9ation1 hi/orical  
oppression1 int]g5]ational pov]ty1 civil
 unre/1 or a high rate ( viol5ce7 be=e  
may be4  #djc4 ,lic5s+ guidel9es =      
community figures ,! ,secret>y ( ,heal? 
& ,human ,s]vices1 act+ ?r\gh !         
,adm9i/rator ( ! ,ag5cy = ,heal?c>e     
,rese>* & ,quality1 %all conduct a /udy 
on1 & e/abli% guidel9es = ,/ates to     
consid] ) respect to1 ! lic5s+ (        
community figures1 includ+ community    
m5tors1 pe]s ) liv$ exp]i5ces1 &        
fai?-bas$ lead]s1 to build aw>5ess (    
trauma & promote l9kages to community   
s]vices1 provide case managem5t s]vices1
 & conduct appropriate trauma-in=m$     

scre5+ = individuals :o h exp]i5c$ or   
are at risk ( exp]i5c+ trauma4 ,su*     
lic5s+ guidel9es %all include           
recomm5dations = p>tn]%ips betwe5 su*   
lic5s$ community figures & o!r heal? c>e
 provid]s su* t ! lic5s$ community      
figures c\ld be reimburs$ ?r\gh ! ,/ate 
,m$icaid plan "u title ,,xix ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #acif et 
seq47 = furni%+ s]vices to individuals  
enroll$ 9 su* plan4  #djd4 ,tra9+ =     
heal? c>e work=ce ,subp>t ,i ( "p ,c (  
title ,,vii ( ! ,public ,heal? ,s]vice  
,act is am5d$ by ins]t+ aft] section    
#gdg;,a 7#db ,u4,s4,c4 #bick-#a7 !      
foll[+3  #gdg;,b4 ,education & tra9+ 9  
trauma-in=m$ c>e  7a7 ,9 g5]al ,!       
,secret>y may aw>d grants1 coop]ative   
agreem5ts1 or contracts to heal?        
pr(essions s*ools1 & o!r public &       
private entities1 = ! developm5t &      
implem5tation ( programs to provide     
education & tra9+ to heal? c>e          
pr(essionals 9 ! deliv]y ( trauma-in=m$ 
c>e4  7b7 ,eligibility ,to be eligible  

to receive a grant1 contract1 or        
coop]ative agreem5t "u subsection 7a71  
an entity %all--  7#a7 be-- 7,a7 a heal?
 pr(essions s*ool2 or  7,b7 a public or 
private entity det]m9$ to be appropriate
 by ! ,secret>y2  7#b7 submit an        
application to ! ,secret>y at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require2 &  7#c7 ent] into
 an agreem5t describ$ 9 subsection 7c74 
7c7 ,c]ta9 topics ,! ,secret>y may aw>d 
a grant1 contract1 or coop]ative        
agreem5t "u subsection 7a7 to an entity 
only if ! entity agrees t ! program to  
be implem5t$ "u ! aw>d w include        
in=mation & education on--  7#a7 be/    
practices develop$ "u section #aja ( !  
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf2  7#b7           
int]discipl9>y approa*es to deliv]+     
trauma-in=m$ c>e2  7#c7 cultural1       
l+ui/ic1 lit]acy1 geographic1 & o!r     
b>ri]s to c>e 9 und]s]v$ populations2 & 
7#d7 rec5t f9d+s1 developm5ts1 &        
improvem5ts 9 ! provision ( trauma-in=m$

 c>e4  7d7 ,evaluation ( programs ,!    
,secret>y %all 7directly or ?r\gh grants
 or contracts7 provide = ! evaluation ( 
programs implem5t$ "u subsection 7a7 9  
ord] to det]m9e ! effect ( su* programs 
on k ( & practice conc]n+ trauma-in=m$  
c>e4  7e7 ,au?orization ( appropriations
 ,!re is au?oriz$ to be appropriat$ to  
c>ry out ?is section su* sums z may be  
necess>y = ea* ( ! fiscal ye>s #bjag    
?r\gh #bjai4 ,am\nts appropriat$ "u ?is 
subsection %all rema9 available until   
exp5d$4  4  #dje4 ,trauma-relat$        
coord9at+ bodies ,"p ,g ( title ,v ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;hh et seq47 is am5d$ by  
add+ at ! end ! foll[+3  #ehc4          
,trauma-relat$ coord9at+ bodies  7a7    
,grants  7#a7 ,9 g5]al ,! ,secret>y1    
act+ ?r\gh ! ,adm9i/rator1 %all make n m
 ?an #aj grants to ,/ate1 local1 or     
tribal eligible entities to act z       
trauma-relat$ coord9at+ bodies4  7#b7   
,am\nt ,! ,secret>y %all make su* a     
grant 9 an am\nt ( n m ?an #d1jjj1jjj4  

7#c7 ,duration ,! ,secret>y %all make   
su* a grant = a p]iod ( #d ye>s4  7b7   
,eligible entities  7#a7 ,9 g5]al ,to be
 eligible to receive a grant "u ?is     
section1 an entity %all include #a or m 
repres5tatives ( ea* ( ! categories     
describ$ 9 p>agraph 7#b74  7#b7         
,composition ,! categories ref]r$ to 9  
p>agraph 7#a7 are-- 7,a7 ag5cies1 su* z 
public heal? or *ild welf>e ag5cies1 t  
provide s]vices to prev5t trauma among1 
id5tify1 ref] = s]vices1 or support     
7includ+ provid+ treatm5t =7 *ildr5 &   
y\?1 & _! families z appropriate1 t h   
exp]i5c$ or are at risk ( exp]i5c+      
trauma2  7,b7 faculty at an in/itution (
 high] education1 or rese>*]s or exp]ts1
 9 an area relat$ to prev5tion (1       
id5tification (1 ref]ral = s]vices =1 or
 support 7includ+ treatm5t7 = *ild & y\?
 trauma2  7,c7 hospitals or o!r heal?   
c>e in/itutions2  7,d7 law en=cem5t2    
7,e7 elem5t>y or second>y s*ools1 or    
e>ly *ildhood education or c>e programs2
  7,f7 provid]s ( aft]-s*ool1 social    

s]vices1 or home visit+ programs2  7,g7 
community organiz]s or fai?-bas$        
provid]s2 &  7,h7 ! g5]al public1       
includ+ individuals :o h exp]i5c$       
trauma4  7#c7 ,qualifications ,9 ord] = 
an entity to be eligible to receive !   
grant1 ! repres5tatives includ$ 9 !     
entity %all1 collectively1 h backgr\nds 
or exp]tise conc]n+ a broad range (     
adv]se *ildhood exp]i5ces4  7c7         
,application ,to be eligible to receive 
a grant "u ?is section1 an entity %all  
submit an application to ! ,secret>y at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require1    
includ+ in=mation describ+ h[ !         
coord9at+ body w cont9ue its activities 
aft] ! end ( ! grant p]iod4  7d7 ,use ( 
funds ,an entity t receives a grant "u  
?is section to act z a coord9at+ body   
%all use ! grant funds--  7#a7 to br+   
toge!r /akehold]s :o provide or use     
s]vices 91 or h exp]tise conc]n+1 cov]$ 
sett+s to id5tify community ne$s &      
res\rces relat$ to prev5t+ trauma among1

 id5tify+1 ref]r+ = s]vices1 & support+ 
7includ+ provid+ treatm5t =7 *ildr5 &   
y\?1 & _! families z appropriate1 :o h  
exp]i5c$ or are at risk ( exp]i5c+      
trauma1 & to build on any ne$s          
assessm5ts conduct$ by organizations or 
gr\ps repres5t$ on ! coord9at+ body2    
7#b7 7,a7 to collect data1 on indicators
 specifi$ by ! ,secret>y1 t cov]s       
multiple cov]$ sett+s2 &  7,b7 to use ! 
data to id5tify unique community        
*all5ges1 gaps 9 s]vices1 & high-ne$    
areas1 relat$ to prev5t+ trauma among1  
id5tify+1 ref]r+ = s]vices1 & support+  
7includ+ provid+ treatm5t =7 *ildr5 &   
y\?1 & _! families z appropriate1 :o h  
exp]i5c$ or are at risk ( exp]i5c+      
trauma2  7#c7 to build aw>5ess1 skills1 
& lead]%ip 7includ+ ?r\gh trauma-in=m$  
tra9+ & public outrea* campaigns7 relat$
 to prev5t+ trauma among1 id5tify+1     
ref]r+ = s]vices1 & support+ 7includ+   
provid+ treatm5t =7 *ildr5 & y\?1 & _!  
families z appropriate1 :o h exp]i5c$ or
 are at risk ( exp]i5c+ trauma 9 !      

community2  7#d7 to lev]age ! res\rces (
 ! memb]s ( ! organizations & gr\ps     
repres5t$ on ! coord9at+ body1 = prev5t+
 trauma among1 id5tify+1 ref]r+ =       
s]vices1 & support+ 7includ+ provid+    
treatm5t =7 *ildr5 & y\?1 & _! families 
z appropriate1 :o h exp]i5c$ or are at  
risk ( exp]i5c+ trauma2 &  7#e7 to      
develop a /rategic plan t id5tifies--   
7,a7 b>ri]s to & gaps 9 ! provision (   
su* s]vices to prev5t trauma among1     
id5tify1 ref] = s]vices1 or support     
7includ+ provid+ treatm5t =7 *ildr5 &   
y\?1 & _! families z appropriate1 :o h  
exp]i5c$ or are at risk ( exp]i5c+      
trauma2 &  7,b7 policy goals &          
coord9ation opportunities 7includ+      
coord9ation 9 apply+ = grants7 relat+ to
 ! provision ( su* s]vices to prev5t    
trauma among1 id5tify1 ref] = s]vices1 &
 support 7includ+ provid+ treatm5t =7   
*ildr5 & y\?1 & _! families z           
appropriate1 :o h exp]i5c$ or are at    
risk ( exp]i5c+ trauma4  7e7 ,supplem5t 
n supplant ,am\nts made available "u ?is

 section %all be us$ to supplem5t & n   
supplant o!r ,f$]al1 ,/ate1 & local     
public funds & private funds exp5d$ to  
provide trauma-relat$ coord9ation       
activities4  7f7 ,evaluation ,at ! end (
 ! p]iod = :i* grants are made "u ?is   
section1 ! ,secret>y %all conduct an    
evaluation ( ! activities c>ri$ out "u  
ea* grant4 ,9 conduct+ ! evaluation1 !  
,secret>y %all assess ! outcomes ( !    
grant activities c>ri$ out by ea* grant 
recipi5t4  7g7 ,au?orization (          
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section     
#dj1jjj1jjj = ! p]iod ( fiscal ye>s     
#bjag ?r\gh #bjbj4  7h7 ,def9ition ,9   
?is section1 ! t]m cov]$ sett+ has !    
mean+ giv5 ! t]m 9 section #aja7;f7 ( ! 
,trauma-,in=m$ ,c>e = ,*ildr5 &         
,families ,act ( #bjaf4  4  #djf4       
,expansion ( p]=mance p>tn]%ip pilot =  
*ildr5 :o h exp]i5c$ or are at risk (   
exp]i5c+ trauma ,section #ebf ( !       
,dep>tm5ts ( ,labor1 ,heal? & ,human    
,s]vices1 & ,education1 & ,relat$       

,ag5cies ,appropriations ,act1 #bjad    
7#db ,u4,s4,c4 #abcja note7 is am5d$--  
7#a7 9 subsection 7a71 by /rik+ p>agraph
 7#b7 & ins]t+ ! foll[+3  7#b7 ,to      
improve outcomes = *ildr5 & y\?1 & _!   
families z appropriate1 :o h exp]i5c$ or
 are at risk ( exp]i5c+ trauma means to 
increase ! rate at :i* individuals :o h 
exp]i5c$ or are at risk ( exp]i5c+      
trauma1 includ+ ^? :o are l[-income1    
homeless1 9 fo/] c>e1 involv$ 9 !       
juv5ile ju/ice sy/em1 unemploy$1 or n   
enroll$ 9 or at risk ( dropp+ out ( an  
educational in/itution & live 9 a       
community t has fac$ acute or long-t]m  
exposure to sub/antial discrim9ation1   
hi/orical oppression1 int]g5]ational    
pov]ty1 civil unre/1 or a high rate (   
viol5ce1 a*ieve success 9 meet+         
educational1 employm5t1 heal?1          
developm5tal1 community re5try1 or o!r  
key goals4  2  7#b7 9 subsection 7b7--  
7,a7 9 ! subsection head+1 by /rik+     
fiscal ye> #bjad & ins]t+ fiscal ye>s   
#bjad ?r\gh #bjag2  7,b7 9 ! matt]      

prec$+ p>agraph 7#a71 by ins]t+ or any  
,act appropriat+ funds = any ( fiscal   
ye>s #bjad ?r\gh #bjag2  7,c7 9 p>agraph
 7#a71 by /rik+ disconnect$ y\? & ins]t+
 *ildr5 & y\?1 & _! families z          
appropriate1 :o h exp]i5c$ or are at    
risk ( exp]i5c+ trauma2 &  7,d7 9       
p>agraph 7#b71 by /rik+ disconnect$ y\?1
 or design$ to prev5t y\? f disconnect+ 
f s*ool or "w1 t provide education1     
tra9+1 employm5t1 & o!r relat$ social   
s]vices4 & ins]t+ *ildr5 & y\?1 & _!    
families z appropriate1 :o h exp]i5c$ or
 are at risk ( exp]i5c+ trauma42  7#c7 9
 subsection 7c77#b77;,a71 by /rik+ #bjah
 & ins]t+ #bjbb2 &  7#d7 9 subsection   
7e71 by /rik+ #bjah & ins]t+ #bjbb4     
#djg4 ,trauma-in=m$ tea*+  7a7 ,p>tn]%ip
 grants ,section #bjb ( ! ,high]        
,education ,act ( #aife 7#bj ,u4,s4,c4  
#ajbb;a7 is am5d$-- 7#a7 9 subsection   
7b77#f7--  7,a7 by r$esignat+           
subp>agraphs 7,h7 ?r\gh 7,k7 z          
subp>agraphs 7,i7 ?r\gh 7,l71           
respectively2 &  7,b7 by ins]t+ aft]    

subp>agraph 7,g7 ! foll[+3  7,h7 h[ !   
p>tn]%ip w prep>e g5]al education &     
special education tea*]s to "w ) /ud5ts 
:o h exp]i5c$ trauma 7includ+ /ud5ts :o 
are involv$ 9 ! fo/] c>e or juv5ile     
ju/ice sy/ems or runaway or homeless    
y\?7 & 9 alt]native education sett+s 9  
:i* high populations ( y\? ) trauma     
exposure may le>n 7includ+ sett+s =     
correctional education1 juv5ile ju/ice1 
pregnant & p>5t+ /ud5ts1 or y\? :o h    
re-ent]$ s*ool aft] a p]iod ( abs5ce due
 to dropp+ out72  2  7#b7 9 subsection  
7d77#a77;,a77i7-- 7,a7 9 subclause      
7,,ii71 by /rik+ & at ! end2  7,b7 by   
r$esignat+ subclause 7,,iii7 z subclause
 7,,iv72 &  7,c7 by ins]t+ aft]         
subclause 7,,ii7 ! foll[+3  7,,iii7 su* 
tea*]s to adopt evid5ce-bas$ approa*es =
 improv+ behavior 7su* z positive       
behavior int]v5tions & supports &       
re/orative ju/ice71 support+ social &   
emotional le>n+1 mitigat+ ! effects (   
trauma1 improv+ ! le>n+ environm5t 9 !  
s*ool1 & = r$uc+ ! ne$ = susp5sions1    

expulsions1 corporal puni%m5t1 ref]rals 
to law en=cem5t1 & o!r actions t remove 
/ud5ts f in/ruction2 &  2 &  7#c7 9     
subsection 7d71 by add+ at ! end !      
foll[+3  7#g7 ,trauma-in=m$ practice &  
"w 9 alt]native education sett+s        
,develop+ ! tea*+ skills ( prospective  
&1 z applicable1 new elem5t>y s*ool &   
second>y s*ool tea*]s to adopt          
evid5ce-bas$ trauma-in=m$ tea*+         
/rategies--  7,a7 to-- 7i7 recognize !  
signs ( trauma & its impact on le>n+2   
7ii7 maximize /ud5t engagem5t2 &  7iii7 
m9imize susp5sion & expulsion2 &  7,b7  
includ+ programs tra9+ tea*]s to "w )   
/ud5ts ) exposure to traumatic ev5ts    
7includ+ /ud5ts involv$ 9 ! fo/] c>e or 
juv5ile ju/ice sy/ems7 & 9 alt]native   
academic sett+s = y\? unable to         
p>ticipate 9 a traditional public s*ool 
program 9 :i* high-populations ( /ud5ts 
) trauma exposure may le>n 7su* z /ud5ts
 involv$ 9 ! fo/] c>e or juv5ile ju/ice 
sy/ems1 pregnant & p>5t+ /ud5ts1 runaway
 & homeless /ud5ts1 & o!r y\? :o h      

re-ent]$ s*ool aft] a p]iod ( abs5ce due
 to dropp+ out74  4  7b7 ,adm9i/rative  
provisions ,section #bjc7;b77#b7 ( !    
,high] ,education ,act ( #aife 7#bj     
,u4,s4,c4 #ajbb;b7b77#b77 is am5d$--    
7#a7 9 subp>agraph 7,a71 by /rik+ & at !
 end2  7#b7 9 subp>agraph 7,b71 by /rik+
 ! p]iod at ! end & ins]t+ 2 &2 &  7#c7 
by add+ at ! end ! foll[+3  7,c7 to     
eligible p>tn]%ips t h a high-quality   
proposal = trauma tra9+ programs = g5]al
 education & special education tea*]s4  
4