,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #hedd ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,octob] #f1 #bjbj,ms4 ,pressley 7= h]self & ,mrs4 ,c>olyn ,b4 ,maloney ( ,new ,york7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to support ! developm5t & implem5tation ( programs us+ data analysis to id5tify & facilitate /rategies to improve outcomes = *ildr5 9 geographic areas ) a high preval5ce ( trauma f exposure to adv]se *ildhood exp]i5ces1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,s]vices & ,trauma-in=m$ ,rese>* ( ,outcomes 9 ,neighborhoods ,grants = ,support = ,*ildr5 ,act ( #bjbj or ! ,,/rong ,support = ,*ildr5 ,act ( #bjbj4 #b4 ,f9d+s ,congress f9ds t-- 7#a7 *ildhood trauma is a p]vasive public heal? issue ) long-t]m negative effects t co/s ! ,unit$ ,/ates ?\s&s ( lives & billions ( doll>s2 7#b7 address+ *ildhood & adolesc5t trauma requires a compreh5sive ,f$]al approa* t recognizes its sev]e impact & prioritizes trauma-in=m$ prev5tion & treatm5t t is rep>ative1 heal+-c5t]$1 g5d]-responsive1 culturally specific1 & community-bas$2 7#c7 adults :o h suff]$ f adv]se *ildhood exp]i5ces are at mu* great] risk ( dea?1 includ+ z ! result ( he>t disease1 lung disease1 canc]1 sub/ance use disord]1 & suicide2 7#d7 *ildhood & adolesc5t exposures to adv]se *ildhood exp]i5ces are g5]ational & p]si/5t & c lead to complex trauma & toxic /ress impact+ bra9 developm5t & trigg]+ epig5etics2 7#e7 any ,f$]al ef=t to prev5t & treat trauma mu/ ackn[l$ge & address ! impact ( hi/oric & sy/emic causal factors1 :i* include1 b are n limit$ to1 ! trauma (-- 7,a7 hi/orical & ongo+ sy/emic racism1 sexism1 x5ophobia1 homophobia1 transphobia1 & ableism t h l$ to g5]ations ( viol5ce & inju/ice & h robb$ communities ( _! heal?1 fre$om1 & peace ( m9d2 7,b7 police brutality1 racial pr(il+1 & crim9alization1 z well z height5$ police activity & surveillance 9 "s areas ) high] police-report$ crime1 :e!r z a result ( community viol5ce or ( racial pr(il+2 7,c7 pov]ty & o!r sy/emic inequities1 includ+ lack ( heal? c>e1 h\s+ in/ability1 poor h\s+ conditions1 hung] & food in/ability & ! accompany+ malnutrition1 & environm5tal inju/ice result+ f g5]ations ( raci/ policies1 hi/oric r$l9+1 l5d+ discrim9ation1 & workplace discrim9ation2 7,d7 g5d]-bas$ viol5ce1 includ+ sexual h>assm5t & assault & discrim9atory s*ool discipl9e policies1 especially = ,black girls & girls ( color2 7,e7 we/]n colonization & sy/emic dive/m5t 9 native communities2 7,f7 family sep>ation policies1 includ+ z]o-tol]ance immigration en=cem5t policies t h result$ 9 ! deportation or ! ?reat ( deportation = c\ntless immigrant families & h l$ to community mi/ru/ & fe> ( report+ inju/ices2 & 7,g7 w> & milit>y pres5ce1 includ+ ! increas$ milit>ization ( local1 ,/ate1 & ,f$]al law en=cem5t ag5cies2 & 7#f7 ! ,,covid-#ai global heal? p&emic has increas$ & exac]bat$ ! trauma inflict$ on "y p1 specifically "y p :o-- 7,a7 live 9 communities ) high] rates ( infection & mortality2 7,b7 h p>5ts :o are ess5tial work]s or fir/ respond]s2 7,c7 h p>5ts :o h lo/ _! s\rces ( income2 7,d7 h witness$ dea?2 7,e7 h _h _! education int]rupt$2 7,f7 are liv+ )\t access to gre5 space & space = physical ex]cise2 7,g7 h become h\s+ insecure & lack access to nutriti\s food2 & 7,h7 are isolat$ amid/ increas$ dome/ic viol5ce & sexual assault4 #c4 ,data analysis & /rategy implem5tation to prev5t & mitigate *ildhood trauma ,title ,,xxxi ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjkk7 is am5d$ by add+ at ! end ! foll[+3 #cajb4 ,data analysis & /rategy implem5tation to prev5t & mitigate *ildhood trauma 7a7 ,9 g5]al ,! ,secret>y %all e/abli% a program-- 7#a7 to support ! developm5t & implem5tation ( programs t use data analysis me?ods to id5tify & facilitate /rategies = e>ly int]v5tion & prev5tion1 9 ord] to prev5t & mitigate *ildhood trauma & support communities & families1 includ+-- 7,a7 improv+ connections ?r\gh c>e coord9ation2 7,b7 align+ community initiatives 9 t>get$ areas ( ne$2 & 7,c7 exp&+ community capacity ?r\gh cross-sector collaboration2 & 7#b7 to evaluate ! effectiv5ess ( ^! programs 9 improv+ outcomes = *ildr54 7b7 ,grants ,! ,secret>y %all aw>d grants to up to #e eligible entities to c>ry out ! activities describ$ 9 subsection 7a74 7c7 ,use ( funds ,a grant = activities "u ?is section %all be us$ to support ! developm5t & implem5tation ( programs t use data analysis me?ods to id5tify & facilitate /rategies = e>ly int]v5tion & prev5tion1 9 ord] to prev5t & mitigate *ildhood trauma & support communities & families1 includ+ z foll[s3 7#a7 ,utilize data analysis me?ods to-- 7,a7 id5tify specific geographic areas1 su* z c5sus tracts1 ) a high preval5ce ( adv]se *ildhood exp]i5ces & significant risk factors = poor outcomes = *ildr5 7su* z increas$ risk ( exp]i5c+ adv]se *ildhood exp]i5ces71 includ+ areas ) high rates (-- 7i7 poor public heal? outcomes includ+ illness1 disease1 suicide1 & mortality2 7ii7 exclusion>y discipl9e practices1 includ+ susp5sions1 expulsions1 & ref]rals to law en=cem5t1 z well z l[ graduation rates2 7iii7 sub/ance use disord]s2 7iv7 pov]ty2 7v7 fo/] sy/em involvem5t or ref]rals2 7vi7 h\s+ in/ability & homelessness2 7vii7 food insecurity2 7viii7 inequity1 includ+ disp>ities 9 income1 weal?1 employm5t1 educational atta9m5t1 heal? c>e access1 & public heal? outcomes1 along l9es ( race1 sex1 sexuality & g5d] id5tity1 e?nicity1 or nationality2 7ix7 inc>c]ation rates2 or 7x7 o!r indicators ( adv]sity z def9$ by ! ,secret>y2 & 7,b7 id5tify /rategies to improve outcomes = *ildr5 ag$ #j ?r\gh #ag t build on /r5g?s 9 communities t c\ld be fur!r support$1 includ+-- 7i7 exi/+ support networks = families2 & 7ii7 enhanc$ connections to community-bas$ organizations4 7#b7 ,implem5t /rategies id5tifi$ pursuant to p>agraph 7#a77;,b7 to facilitate outrea* & involvem5t ( *ildr5 & _! c>egiv]s 9 ,f$]al1 ,/ate1 or local programs t provide rep>ative1 g5d]-responsive1 culturally specific1 & trauma-in=m$ prev5tion s]vices1 & = :i* *ildr5 & _! c>egiv]s are eligible1 includ+-- 7,a7 home visit+ programs2 7,b7 tra9+ & education on p>5t+ skills2 7,c7 sub/ance use disord] prev5tion & treatm5t t is volunt>y & nonco]cive2 7,d7 m5tal heal? supports & c>e t is volunt>y & nonco]cive2 7,e7 family & intimate p>tn] viol5ce prev5tion s]vices2 7,f7 *ild advocacy c5t] programm+2 7,g7 economic & nutrition support s]vices2 7,h7 h\s+ support s]vices1 includ+ em]g5cy & tempor>y %elt] = ^? exp]i5c+ homelessness & h\s+ insecurity1 z well z /able1 long-t]m h\s+2 7,i7 volunt>y1 nonco]cive1 g5d]-responsive1 & culturally specific m5tal heal? supports 9 s*ool & e>ly *ildhood education c5t]-bas$ sett+s2 7,j7 wrap>\nd programs = transition+ y\? & y\? curr5tly 9 ! fo/] sy/em2 7,k7 programm+ to support ! heal? & well-be+ ( lesbian1 gay1 bisexual1 transg5d]1 & int]sex *ildr5 & _! families2 & 7,l7 family res\rce c5t] s]vices4 7d7 ,special rules 7#a7 ,prim>y pay] re/riction ,! ,secret>y may n aw>d a grant "u ?is section to an eligible entity = a s]vice if ! s]vice to be provid$ is available pursuant to ! ,/ate plan approv$ "u title ,,xix ( ! ,social ,security ,act = ! ,/ate 9 :i* ! program fund$ by ! grant is be+ conduct$ unless ! ,/ate & all eligible subdivisions involv$-- 7,a7 w ent] into agreem5ts ) public or nonpr(it private entities "u :i* ! entities w provide ! s]vice2 & 7,b7 demon/rate t ! ,/ate & all eligible subdivisions w ensure t ! entities provid+ ! s]vice-- 7i7 w seek paym5t = ea* su* s]vice r5d]$ 9 accordance ) ! usual paym5t s*$ule "u ! ,/ate plan2 & 7ii7 ! entities h ent]$ into a p>ticipation agreem5t & are qualifi$ to receive paym5ts "u su* plan4 7#b7 ,implem5tation ,an eligible entity t receives a grant "u ?is section may use-- 7,a7 n m ?an #be p]c5t ( ! am\nts made available ?r\gh ! grant = ! fir/ #bd mon?s ( ! grant p]iod to utilize data analysis me?ods to-- 7i7 id5tify specific geographic areas :]e c>e coord9ation1 prev5tion & e>ly int]v5tion1 & facilitation s]vices w be provid$2 & 7ii7 id5tify support & int]v5tion s]vices to improve outcomes = *ildr5 locat$ 9 a geographic area id5tifi$ "u subsection 7c77#a77;,a72 & 7,b7 n m ?an #aj p]c5t ( ! grant 9 ea* subsequ5t ye> to cont9ue data analysis activities4 7#c7 ,adm9i/ration ,an eligible entity t receives a grant "u ?is section may n use m ?an #e p]c5t ( am\nts receiv$ ?r\gh ! grant = adm9i/ration1 report+1 & program ov]sight functions1 includ+ ! developm5t ( sy/ems to improve data collection & data %>+ = ! purposes ( improv+ s]vices & ! provision ( c>e4 7#d7 ,priority 7,a7 ,9 g5]al ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority1 to ! ext5t practical1 to eligible entities t use community-bas$ sy/em dynamic model+ z ! prim>y data analysis me?od4 7,b7 ,sy/em dynamic model+ def9$ ,! t]m sy/em dynamic model+ means a me?od ( data analysis & pr$ictive model+ t includes-- 7i7 utilization ( community-bas$ p>ticipatory rese>* me?ods = involv+ community 9 ! process ( und]/&+ & *ang+ sy/ems & evaluat+ outcomes ( grants2 7ii7 consid]ation ( a multitude ( environm5tal risk factors & asc]ta9m5t ( ! significance ( contribut+ community risk factors = purposes ( id5tify+ /rategies to r$uce adv]se *ild outcomes1 includ+-- 7,i7 maltreatm5t cases2 7,,ii7 involvem5t ) ! juv5ile crim9al legal sy/em or fo/] sy/em2 7,,iii7 exclusion>y s*ool discipl9e2 or 7,,iv7 exposure to viol5ce2 & 7iii7 id5tification ( cross-sector responses involv+ rep>ative1 trauma-in=m$1 culturally specific1 g5d]-responsive1 & community-bas$ organizations to r$uce adv]se *ild outcomes4 7#e7 ,subgrant 7,a7 ,9 g5]al ,an eligible entity t receives a grant "u ?is section %all use at lea/ #be p]c5t ( ! total am\nt ( ! grant to make subgrants to organizations t aide 9 implem5t+ ! /rategy id5tifi$ "u subsection 7c77#a77;,b7 = prev5t+ & mitigat+ *ildhood trauma & support+ communities & families4 7,b7 ,eligibility ,to be eligible to receive a subgrant "u ?is p>agraph1 an organization %all prep>e & submit to ! eligible entity an application 9 su* =m1 & conta9+ su* in=mation1 z ! eligible entity may require1 includ+ evid5ce t !-- 7i7 ne$s ( ! population to be s]v$ are urg5t & are n met by ! s]vices curr5tly available 9 ! geographic area2 & 7ii7 ! organization has ! capacity to provide ! s]vices li/$ 9 subsection 7c77#b74 7,c7 ,supplem5t n supplant ,subgrant funds receiv$ pursuant to ?is p>agraph by an organization %all be us$ to supplem5t & n supplant ,/ate or local funds provid$ to ! p>tn]%ip organization = s]vices li/$ 9 subsection 7c77#b74 7e7 ,application ,to be eligible to receive a grant "u ?is section1 an eligible entity %all submit to ! ,secret>y an application 9 su* =m1 & conta9+ su* in=mation1 z ! ,secret>y may require1 to include ! foll[+3 7#a7 ,a demon/ration t-- 7,a7 ! applicant utilizes trauma-in=m$1 culturally specific1 & g5d]-responsive practices1 includ+ a demon/ration ( ! ext5t to :i* ! applicant has tra9$ /aff 9 ^! practices2 7,b7 ! applicant has ! capacity to adm9i/] ! grant1 includ+ conduct+ all requir$ data analysis activities2 & 7,c7 s]vices w be provid$ to *ildr5 & families 9 an accessible1 culturally relevant1 & l+ui/ically specific mann] consi/5t ) local ne$s4 7#b7 ,a prelim9>y analysis ( h[ ! applicant w use ! grant to-- 7,a7 id5tify ! geographic area or areas to be s]v$ us+ data analysis me?ods2 7,b7 utilize data analysis me?ods to id5tify /rategies to improve outcomes = *ildr5 9 ! geographic area2 7,c7 facilitate /rategies id5tifi$ ?r\gh c>e coord9ation ef=ts2 & 7,d7 track data = evaluation ( outcomes4 7#c7 ,a detail$ project plan = ! use ( ! grant t includes anticipat$ te*nical assi/ance ne$s4 7#d7 ,additional fund+ s\rces1 includ+ ,/ate & local funds1 support+ ! prev5tion & mitigation ( adv]se *ildhood exp]i5ces4 7f7 ,grant am\nt ,! am\nt ( a grant "u ?is section %all n exce$ #i1ejj1jjj4 7g7 ,p]iod ( a grant ,! p]iod ( a grant "u ?is section %all n exce$ #g ye>s4 7h7 ,s]vice provision )\t reg>d to ability ,to pay ,z a condition on receipt ( a grant "u ?is section1 an eligible entity %all agree t any assi/ance provid$ to an individual ?r\gh ! grant w be provid$ )\t reg>d to-- 7#a7 ! ability ( ! individual to pay = su* s]vices2 7#b7 ! curr5t or pa/ heal? condition ( ! individual to be s]v$2 7#c7 ! immigration /atus ( ! individual to be s]v$2 7#d7 ! sexual ori5tation & g5d] id5tity ( ! individual to be s]v$2 & 7#e7 any prior involvem5t ( ! individual 9 ! crim9al legal sy/em4 7i7 ,prohibitions ,9 addition to any o!r prohibitions det]m9$ by ! ,secret>y1 an eligible entity may n use a grant "u ?is section to-- 7#a7 use data analysis me?ods to in=m individual case decisions1 includ+ *ild removal or placem5t decisions1 or to t>get s]vices at c]ta9 individuals or families2 7#b7 require any individual or family to p>ticipate 9 any s]vice or program z a condition ( receipt ( a b5efit to :i* ! individual or family is o!rwise eligible2 7#c7 increase ! pres5ce or fund+ ( law en=cem5t surveillance1 involvem5t1 or activity 9 implem5t+ ! /rategies id5tifi$ "u subsection 7c77#a77;,b72 or 7#d7 enable ! practice ( conv]sion !rapy4 7j7 ,evaluation 7#a7 ,data model evaluation ,n lat] ?an #cf mon?s aft] ! date ( enactm5t ( ?is section1 ! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 9 coord9ation ) ! grantees receiv+ a grant "u ?is section1 %all complete an evaluation ( ! effectiv5ess ( ! data model accuracy ( ! grant program "u ?is section to address ea* ( ! foll[+3 7,a7 ,det]m9+ ! effectiv5ess ( ! grantees' use ( data analysis me?ods to id5tify geographic areas pursuant to subsection 7c77#a74 7,b7 ,exam9+ ! grantees' developm5t & utilization ( data analysis me?ods4 7,c7 ,exam9+ ! grantees' ability to effectively utilize data analysis me?ods 9 future prev5tion "w4 7,d7 ,e/abli%+ a me?od = rigor\sly evaluat+ ! activities ( grantees & comp>+ ! r$uction ( *ild & family exposure to adv]se exp]i5ces 9 o!r communities ) simil> demographics4 7,e7 ,exam9+ ! grantees' utilization ( community-bas$ sy/em dynamics model+ me?ods & o!r community engagem5t me?ods4 7#b7 ,program evaluation ,n lat] ?an #f ye>s aft] ! date ( enactm5t ( ?is section1 ! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 9 coord9ation ) eligible entities receiv+ grants "u ?is section1 %all complete an evaluation ( ! effectiv5ess ( ! grant program "u ?is section4 7#c7 ,data ,collection 7,a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices & ea* eligible entity receiv+ a grant "u ?is section %all collect any relevant data necess>y to complete ! evaluations requir$ by p>agraphs 7#a7 & 7#b7 to include-- 7i7 ! activities fund$ by ! grant "u ?is section1 includ+ developm5t & implem5tation data analysis me?ods2 7ii7 ! numb] ( *ildr5 & ( families receiv+ coord9ation & facilitation ( c>e & s]vices2 & 7iii7 ! effect ( activities support$ by ! grant "u ?is section on ! local area s]vic$ by ! program1 includ+ su* effects on-- 7,i7 *ildr5 & adolesc5ts' heal? & well-be+2 7,,ii7 ! numb] ( *ildr5 :o ent] into or dep>t f fo/] s]vices2 & 7,,iii7 homelessness & h\s+ insecurity4 7,b7 ,/udy 7i7 ,9 g5]al ,n lat] ?an #g ye>s aft] ! date ( enactm5t ( ?is section1 ! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices %all-- 7,i7 complete a /udy on ! results ( ! grant program "u ?is section us+ ! community-bas$ p>ticipatory action rese>* me?od1 :i* focuses on social1 /ructural1 & physical environm5tal inequities ?r\gh active involvem5t ( community memb]s1 cli5ts1 organizational repres5tatives1 & rese>*]s 9 all aspects ( ! rese>* process2 & 7,,ii7 submit a report on ! results ( ! /udy to ! ,congress4 7ii7 ,p>tn]s ,9 conduct+ ! /udy "u clause 7i71 ! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices %all ensure t p>tn]s & p]sons t h p>ticipat$ 9 ! grant program "u ?is section on e level1 especially ^? su* p>tn]s or p]sons receiv+ s]vices & support ?r\gh ! program1 h an opportunity to contribute _! exp]tise to evaluat+ ! /rategy & outcomes4 7k7 ,report ,n lat] ?an ?ree mon?s aft] ! completion ( ! evaluation requir$ by subsection 7j77#b71 ! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices %all submit to ,congress & make available to ! public on ! int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices a report bas$ ^u ! evaluation "u subsection 7j77#b71 to include-- 7#a7 ! impact ( ! program "u ?is section on homelessness & h\s+ insecurity1 sub/ance use disord] & drug dea?s1 inc>c]ation1 fo/] sy/em involvem5t1 & o!r *ild & family outcomes z id5tifi$ by ! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7#b7 an analysis ( :i* elem5ts ( ! program %\ld be replicat$ & scal$ by gov]nm5tal or non-gov]nm5tal entities2 & 7#c7 su* recomm5dations = legislation & adm9i/rative action z ! ,secret>y det]m9es appropriate4 7l7 ,def9ition ,9 ?is section3 7#a7 ,! t]m adv]se *ildhood exp]i5ce means a pot5tially traumatic exp]i5ce t occurs 9 *ildhood & c h a trem5d\s impact on ! *ild's lifelong heal? & opportunity outcomes1 su* z any ( ! foll[+3 7,a7 ,abuse1 su* z any ( ! foll[+3 7i7 ,emotional & psy*ological abuse4 7ii7 ,physical abuse4 7iii7 ,sexual abuse4 7,b7 ,h\sehold *all5ges su* z any ( ! foll[+3 7i7 ,a h\sehold memb] is treat$ viol5tly4 7ii7 ,a h\sehold memb] has a sub/ance use disord]4 7iii7 ,a h\sehold memb] has a m5tal heal? condition4 7iv7 ,p>5tal sep>ation or divorce4 7v7 ,a h\sehold memb] is inc>c]at$1 plac$ 9 immigrant det5tion1 or has be5 deport$4 7vi7 ,a h\sehold memb] has a life-?reat5+ illness su* z ,,covid-#ai4 7,c7 ,neglect4 7,d7 ,liv+ 9-- 7i7 impov]i%$ communities t lack access to human s]vices2 7ii7 areas ( high unemploym5t neighborhoods2 or 7iii7 communities exp]i5c+ de facto segregation4 7,e7 ,exp]i5c+ food insecurity & poor nutrition4 7,f7 ,witness+ viol5ce4 7,g7 ,involvem5t ) ! fo/] sy/em4 7,h7 ,exp]i5c+ discrim9ation4 7,i7 ,deal+ ) hi/orical & ongo+ traumas due to sy/emic & int]p]sonal racism4 7,j7 ,deal+ ) hi/orical & ongo+ traumas reg>d+ sy/emic & int]p]sonal sexism1 homophobia1 biphobia1 & transphobia4 7,k7 ,deal+ ) ! ?reat ( deportation or det5tion z a result ( immigration /atus4 7,l7 ,! impacts ( multig5]ational pov]ty result+ f limit$ educational & economic opportunities4 7,m7 ,liv+ ?r\gh natural disa/]s su* z e>?quakes1 =e/ fires1 floods1 or hurricanes4 7#b7 ,! t]m eligible entity means a ,/ate or local heal? dep>tm5t4 7#c7 ,! t]m practice ( conv]sion !rapy-- 7,a7 means any practice or treatm5t by any p]son t seeks to *ange ano!r individual's sexual ori5tation or g5d] id5tity1 includ+ ef=ts to *ange behaviors or g5d] expressions1 or to elim9ate or r$uce sexual or romantic attractions or feel+s t[>d individuals ( ! same g5d]1 if su* p]son receives monet>y comp5sation 9 ex*ange = any su* practice or treatm5t2 & 7,b7 does n include any practice or treatm5t t does n seek to *ange sexual ori5tation or g5d] id5tity &-- 7i7 provides assi/ance to an individual und]go+ a g5d] transition2 or 7ii7 provides acceptance1 support1 & und]/&+ ( a cli5t or facilitation ( a cli5t's cop+1 social support1 & id5tity exploration & developm5t4 7m7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section = ! p]iod ( fiscal ye>s #bjbj ?r\gh #bjbg-- 7#a7 to c>ry out subsection 7a77#a7 ?r\gh ! aw>d ( grants "u subsection 7b7-- 7,a7 #dg1ejj1jjj = grants2 & 7,b7 su* sums z may be necess>y = ! adm9i/rative co/s ( c>ry+ out su* subsection2 & 7#b7 #g1ejj1jjj to c>ry out ! evaluation "u subsection 7a77#b74 4 #d4 ,c>e coord9ation grants ,"p ,e ( title ,,xii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;d-#ea et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #abee4 ,c>e coord9ation grants 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants to eligible entities to e/abli% or exp& trauma-in=m$ c>e coord9ation s]vices to support-- 7#a7 *ildr5 ag$ #j ?r\gh #e at risk ( adv]se *ildhood exp]i5ces2 & 7#b7 _! c>egiv]s1 includ+ pr5atal p ( any age4 7b7 ,numb] ( grants ,subject to ! availability ( appropriations1 ! ,secret>y %all aw>d n few] ?an #i & n m ?an #dj grants "u ?is section4 7c7 ,am\nt ( grants ,subject to ! availability ( appropriations1 ! am\nt ( a grant "u ?is section = a fiscal ye> %all be-- 7#a7 n less ?an #bej1jjj2 & 7#b7 n m ?an #a1jjj1jjj4 7d7 ,eligible entities ,to be eligible to receive a grant "u ?is section1 an entity %all be a local gov]nm5t or ,indian ,tribe1 act+ ?r\gh ! public heal? dep>tm5t !re( if su* gov]nm5t or ,tribe has a public heal? dep>tm5t4 7e7 ,priority 7#a7 ,9 g5]al ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to eligible entities propos+ to s]ve communities ) a high ne$ = trauma-in=m$ c>e coord9ation s]vices1 z demon/rat$ by indicators su* z-- 7,a7 pregnant p :o face b>ri]s to pr5atal c>e2 7,b7 mortality or morbidity ( p giv+ bir? or infants2 7,c7 c>etak]s & p>5ts :o are liv+ ) a m5tal heal? condition or sub/ance use disord]2 7,d7 a high preval5ce ( community viol5ce1 includ+ dome/ic viol5ce1 z demon/rat$ by in/ances ( homicide & public heal? /ati/ics1 includ+ treatm5t ( injury or trauma2 7,e7 high proportions ( l[-income *ildr52 7,f7 a high preval5ce ( *ild fatalities or ne> fatalities relat$ to *ild abuse & neglect2 7,g7 significant disp>ities 9 heal? outcomes = p giv+ bir? & infants2 7,h7 a high rate ( exclusion>y discipl9e & ref]rals to law en=cem5t2 & 7,i7 a high rate ( homelessness & h\s+ in/ability4 7#b7 ,data f ,tribal areas ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,indian ,heal? ,s]vice1 %all consult ) ,indian ,tribes to e/abli% crit]ia to measure indicators ( ne$1 = purposes ( p>agraph 7#a71 ) respect to ,tribal areas4 7f7 ,use ( funds 7#a7 ,requir$ uses 7,a7 ,9 g5]al ,a grant receiv$ "u ?is section %all be us$ to e/abli% or exp& g5d]-responsive1 culturally specific1 trauma-in=m$ c>e coord9ation s]vices1 includ+ by in/itut+ & conduct+ risk & ne$s assessm5ts includ+-- 7i7 us+ /r5g?s-bas$ approa*es focus$ on protective factors = *ildr5 & _! c>egiv]s1 includ+ pr5atal p ( any age2 & 7ii7 inputt+ scre5+ results into a c5traliz$ intake sy/em to promote a s+le po9t ( access sy/em across provid]s & s]vices4 7,b7 ,tra9+ ,a grant receiv$ "u ?is section %all be us$ to ensure t individuals employ$ ?r\gh ! grant funds1 9 :ole or 9 "p1 h receiv$ suffici5t & up-to-date tra9+ on trauma-in=m$ c>e & /rategies t are rep>ative1 culturally s5sitive1 g5d]-responsive1 & heal+-c5t]$4 7#b7 ,p]missible uses ,a grant receiv$ "u ?is section may be us$ = any ( ! foll[+3 7,a7 ,employ+ c>e coord9ators1 case manag]s1 community heal? work]s1 c]tifi$ infant m5tal heal? speciali/s1 & outrea* & engagem5t speciali/s to "w ) *ildr5 & _! c>egiv]s1 includ+ pr5atal individuals1 to prev5t & respond to adv]se *ildhood exp]i5ces by connect+ cli5ts ) culturally specific1 trauma-in=m$ c>e treatm5t s]vices1 includ+ economic1 social1 food1 & h\s+ supports4 7,b7 ,provid+ tra9+ describ$ 9 p>agraph 7#a77;,b7 to community heal? provid]s & community p>tn]s4 7,c7 ,exp&+1 enhanc+1 modify+1 & connect+ ! exi/+ network ( community programs & s]vices to a*ieve a m compreh5sive & coord9at$ sy/em ( c>e approa*1 includ+-- 7i7 develop+ local infra/ructure to bol/] & %ape community support sy/ems & map & build access to s]vices 9 a coord9at$ & compreh5sive way2 & 7ii7 creat+ infra/ructure to conduct outrea* to *ildr5 & families1 includ+ ^? exp]i5c+ homelessness & h\s+ in/ability1 s !y acquire access to ! s]vices & supports !y ne$ & ! b5efits to :i* !y are entitl$4 7,d7 ,compil+ in=mation on res\rces 7includ+ any ref]ral s]vices7 available ?r\gh community-bas$ organizations & local1 ,/ate1 & ,f$]al ag5cies1 su* z-- 7i7 programs address+ social det]m9ants ( heal?1 includ+-- 7,i7 em]g5cy1 tempor>y1 & long-t]m h\s+2 7,,ii7 programs t (f] free or af=dable & nutriti\s food2 7,,iii7 vocational & work=ce developm5t2 & 7,,iv7 transportation supports2 7ii7 home visit+ programs = new p>5ts & _! infants2 7iii7 work=ce developm5t programs to support c>egiv]s 9 skill build+2 7iv7 trauma-responsive1 p>5t+ skills-build+ programs2 7v7 ! cont9uum ( sub/ance use prev5tion1 int]v5tion1 & treatm5t programs & m5tal heal? support programs1 includ+ programs ) trauma-in=m$1 g5d]-responsive1 & culturally specific c\nsel+2 & 7vi7 *ildc>e support & e>ly *ildhood education1 includ+ ,head ,/>t & ,e>ly ,head ,/>t programs4 7,e7 ,subject to subsection 7g77#b71 e/abli%+ or updat+ a database t compiles data us$ to track ! effectiv5ess ( ! c>e coord9ation s]vices fund$ ?r\gh ! grant4 7,f7 ,develop+ & implem5t+ ref]ral p>tn]%ip agreem5ts ) community-bas$ organizations1 p>5t organizations1 sub/ance use disord] treatm5t provid]s & facilities1 h\s+ & %elt] provid]s1 heal? c>e provid]s1 m5tal heal? c>e provid]s1 & ,f$]al & ,/ate (fices & programs t implem5t practices to support *ildr5 ages #j ?r\gh #e :o are at risk ( adv]se *ildhood exp]i5ces & _! c>egiv]s1 includ+ pr5atal p4 ,su* practices %all include-- 7i7 a bilat]al w>m h&(f sy/em :]eby a grantee und]/&s ! ne$s ( ! *ildr5 & _! families1 & families are involv$ 9 address+ ^! ne$s2 & 7ii7 an active s]vice connection :]eby ! *ildr5 & families are ea* actively connect$ ) a res\rce 9 a well-coord9at$ way t ensures availability & direct contact4 7,g7 ,support+ cross-sy/em plann+ & collaboration among employees :o may "w 9 em]g5cy m$ical s]vices1 heal? c>e s]vices1 public heal?1 e>ly *ildhood education1 & sub/ance use disord] treatm5t & recov]y support4 7,h7 ,provid+ or subsidiz+ s]vices to address b>ri]s t *ildr51 pr5atal individuals1 & c>egiv]s face to utiliz+ community res\rces & s]vices1 su* z by provid+ or subsidiz+ transportation or *ildc>e co/s z applicable & )9 reasonable am\nts4 7,i7 ,creat+ or exp&+ infra/ructure & inve/+ 9 te*nology1 includ+ ! provision ( communications te*nology & int]net s]vice to *ildr5 & _! c>egiv]s1 to enable increas$ telem$ic9e capabilities to rea* p>ticipants4 7#c7 ,indian tribes ,9 ! case ( an eligible entity t is an ,indian tribe1 ! ,secret>y may waive su* provisions ( ?is subsection z ! ,secret>y det]m9es appropriate4 7#d7 ,prohibitions ,9 addition to any o!r prohibitions det]m9$ by ! ,secret>y1 an eligible entity may n use a grant "u ?is section to-- 7,a7 use data analysis me?ods to in=m individual case decisions1 includ+ *ild removal or placem5t decisions1 or to t>get s]vices at c]ta9 individuals or families2 7,b7 require any individual or family to p>ticipate 9 any s]vice or program z a condition ( receipt ( a b5efit to :i* ! individual or family is o!rwise eligible2 or 7,c7 increase ! pres5ce or fund+ ( law en=cem5t surveillance1 involvem5t1 or activity 9 connection ) trauma-in=m$ c>e coord9ation s]vices support$ pursuant to ?is section4 7g7 ,requirem5ts ,z a condition on receipt ( a grant "u ?is section1 an eligible entity %all agree to ea* ( ! foll[+ fund+ conditions3 7#a7 ,re/riction ( fund+ allocation ,! eligible entity w n use m ?an #cj p]c5t ( ! funds made available to ! entity ?r\gh ! grant 7= ! total grant p]iod7 to e/abli% or update a database pursuant to subsection 7f77#b77;,e74 7#b7 ,accessible sett+ 7,a7 ,9 g5]al ,! eligible entity w ensure t all c>e coord9ation s]vices provid$ ?r\gh ! grant are provid$ 9 a sett+ t is accessible1 includ+ ?r\gh mobile sett+s1 to-- 7i7 l[-income or no-income individuals1 includ+ individuals exp]i5c+ homelessness or h\s+ in/ability2 & 7ii7 individuals 9 rural areas4 7,b7 ,community outrea* ,9 comply+ ) subp>agraph 7,a71 ! eligible entity w ensure t at lea/ #ej p]c5t ( ! c>e coord9ation s]vices provid$ ?r\gh ! grant occur 9 community sett+s t are conv5i5t to ! *ildr5 & c>egiv]s :o are be+ s]v$1 su* z homes1 s*ools1 & %elt]s1 :e!r = initial outrea* or z "p ( long-t]m c>e4 7#c7 ,supplem5t n supplant ,! grant w be us$ to supplem5t n supplant o!r ,f$]al1 ,/ate1 or local funds available = c>e coord9ation s]vices4 7#d7 ,confid5tiality ,! eligible entity w ma9ta9 ! confid5tiality ( individuals receiv+ s]vices ?r\gh ! grant 9 a mann] consi/5t ) applicable law4 7#e7 ,p>tn]+2 risk /ratification ,9 provid+ c>e coord9ation s]vices ?r\gh ! grant1 ! eligible entity w-- 7,a7 p>tn] ) community-bas$ organizations ) exp]i5ce s]v+ *ild populations pr5atally ?r\gh age #e2 7,b7 coord9ate ) ! local ag5cy responsible = adm9i/]+ ! ,/ate plan approv$ "u title ,,xix ( ! ,social ,security ,act2 & 7,c7 employ risk /ratification to develop diff]5t effective models ( c>e = diff]5t populations bas$ on _! ne$s4 7h7 ,application 7#a7 ,9 g5]al ,to seek a grant "u ?is section1 an eligible entity %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation1 z ! ,secret>y may require4 7#b7 ,cont5ts ,an application "u p>agraph 7#a7 %all1 at a m9imum1 conta9 ea* ( ! foll[+3 7,a7 ,goals to be a*iev$ ?r\gh ! grant1 includ+ ! activities t w be und]tak5 to a*ieve ^? goals4 7,b7 ,! numb] ( individuals likely to be s]v$ ?r\gh ! grant1 includ+ demographic data on ! populations to be s]v$4 7,c7 ,exi/+ programs & s]vices t c be us$ to significantly increase ! proportion ( *ildr5 & families :o receive ne$$ supports & s]vices4 7,d7 ,a plan = exp&+1 coord9at+1 or modify+ ! exi/+ network ( programs & s]vices to meet ! ne$s ( *ildr5 & families = prev5t+ & mitigat+ ! traumatic impact ( adv]se *ildhood exp]i5ces4 7,e7 ,a demon/ration ( ! ability ( ! eligible entity to rea* ! individuals to be s]v$1 includ+ by p>tn]+ ) local /akehold]s4 7,f7 ,an indication ( h[ ! p]sonnel involv$ are reflective ( ! communities to be s]v$4 7,g7 ,a li/ ( /akehold]s ) :om ! entity plans to p>tn] or consult4 7i7 ,report+ by grantees ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ?is section1 an eligible entity receiv+ a grant "u ?is section %all submit to ! ,secret>y a report on ! activities fund$ ?r\gh ! grant4 ,su* report %all include1 at a m9imum1 a description (-- 7#a7 ! numb] ( individuals s]v$ ?r\gh activities fund$ ?r\gh ! grant1 includ+ demographics z applicable2 7#b7 ! numb] ( ref]rals made ?r\gh ! grant & ! rate ( su* ref]rals successfully l9k$ or clos$2 7#c7 a qualitative analysis or numb] ( collaborative p>tn]%ips ) o!r organizations 9 c>ry+ out ! activities fund$ ?r\gh ! grant2 7#d7 ! numb] ( s]vices provid$ to individuals ?r\gh ! grant2 7#e7 aggregat$ & de-id5tifi$ outcomes exp]i5c$ by individuals s]v$ ?r\gh ! grant su* z-- 7,a7 ! rate ( successful s]vice connections2 7,b7 any increases 9 developm5t ( protective factors = *ildr52 7,c7 any increase 9 developm5t ( protective factors = ! c>egiv]s2 7,d7 any mitigation ( ! negative outcomes associat$ ) adv]se *ildhood exp]i5ces or decreas$ likelihood ( *ildr5 exp]i5c+ an adv]se *ildhood exp]i5ce z evid5c$ by-- 7i7 decreas$ pres5ce ( law en=cem5t or o!r punitive ,/ate surveillance 9 ! community2 7ii7 a p>5t complet+ sub/ance use treatm5t2 7iii7 a p>5t receiv+ volunt>y treatm5t = m5tal heal?-relat$ conditions2 7iv7 a family ent]+ into or ma9ta9+ a /able h\s+ situation2 7v7 a family a*iev+ or ma9ta9+ economic security2 7vi7 a p>5t a*iev+ or ma9ta9+ job /ability2 or 7vii7 a *ild meet+ developm5tal m>k]s = s*ool read9ess2 & 7,e7 reports ( satisfaction ) ! coord9ation ( c>e by p s]v$2 & 7#f7 any o!r in=mation requir$ by ! ,secret>y4 7j7 ,conv5+ p>ticipants = %>+ lessons le>n$ ,aft] ! p]iod ( all grants aw>d$ "u ?is section has conclud$1 ! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices %all provide an 9-p]son or onl9e opportunity = p]sons p>ticipat+ 9 ! programs fund$ ?r\gh ?is section to %>e ) ea* o!r-- 7#a7 lessons le>n$2 7#b7 *all5ges exp]i5c$2 & 7#c7 ideas = next /eps & solutions4 7k7 ,compil+ f9d+s & conclusions ,aft] provid+ ! opportunity requir$ by subsection 7j71 ! ,secret>y %all-- 7#a7 compile ! f9d+s & conclusions ( grantees "u ?is section on ! provision ( c>e coord9ation s]vices describ$ 9 subsection 7a72 7#b7 submit a report on su* f9d+s & conclusions to ! appropriate congressional committees2 & 7#c7 make su* report publicly available4 7l7 ,def9itions ,9 ?is section3 7#a7 ,adv]se *ildhood exp]i5ce ,! t]m adv]se *ildhood exp]i5ce means a pot5tially traumatic exp]i5ce t occurs 9 *ildhood & c h a trem5d\s impact on ! *ild's lifelong heal? & opportunity outcomes1 su* z any ( ! foll[+3 7,a7 ,abuse1 su* z any ( ! foll[+3 7i7 ,emotional & psy*ological abuse4 7ii7 ,physical abuse4 7iii7 ,sexual abuse4 7,b7 ,h\sehold *all5ges su* z any ( ! foll[+3 7i7 ,a h\sehold memb] is treat$ viol5tly4 7ii7 ,a h\sehold memb] has a sub/ance use disord]4 7iii7 ,a h\sehold memb] has a m5tal heal? condition4 7iv7 ,p>5tal sep>ation or divorce4 7v7 ,a h\sehold memb] is inc>c]at$1 plac$ 9 immigrant det5tion1 or has be5 deport$4 7vi7 ,a h\sehold memb] has a life-?reat5+ illness su* z ,,covid-#ai4 7,c7 ,neglect4 7,d7 ,liv+ 9-- 7i7 impov]i%$ communities t lack access to human s]vices2 7ii7 areas ( high unemploym5t neighborhoods2 or 7iii7 communities exp]i5c+ de facto segregation4 7,e7 ,exp]i5c+ food insecurity & poor nutrition4 7,f7 ,witness+ viol5ce4 7,g7 ,involvem5t ) ! fo/] sy/em4 7,h7 ,exp]i5c+ discrim9ation4 7,i7 ,deal+ ) hi/orical & ongo+ traumas due to sy/emic & int]p]sonal racism4 7,j7 ,deal+ ) hi/orical & ongo+ traumas reg>d+ sy/emic & int]p]sonal sexism1 homophobia1 biphobia1 & transphobia4 7,k7 ,deal+ ) ! ?reat ( deportation or det5tion z a result ( immigration /atus4 7,l7 ,! impacts ( multig5]ational pov]ty result+ f limit$ educational & economic opportunities4 7,m7 ,liv+ ?r\gh natural disa/]s su* z e>?quakes1 =e/ fires1 floods1 or hurricanes4 7#b7 ,c>e coord9ation ,! t]m c>e coord9ation means an active1 ongo+ process t-- 7,a7 assi/s *ildr5 ages #j ?r\gh #e at risk (1 or :o h exp]i5c$1 an adv]se *ildhood exp]i5ce1 & _! c>egiv]s1 includ+ pr5atal p ( any age1 to id5tify1 access1 & use community res\rces & s]vices2 7,b7 is cli5t-c5t]$ & compreh5sive ( ! s]vices a *ild or c>egiv] may ne$2 7,c7 ensures a clos$ loop ref]ral by obta9+ fe$back f ! families s]v$2 & 7,d7 works across sy/ems & s]vices to promote collaboration to effectively meet ! ne$s ( community memb]s4 7#c7 ,indian ,tribe ,! t]m ,indian ,tribe has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#d7 ,protective factors ,! t]m protective factors ref]s to any supportive elem5t 9 a *ild or c>etak]'s life t helps ! *ild or c>etak] to )/& trauma su* z a /able s*ool environm5t or supportive pe] relation%ips4 7m7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #ae1jjj1jjj = ea* ( ! #e fiscal ye>s foll[+ ! fiscal ye> 9 :i* ?is section is enact$4 7#b7 ,grants to ,indian tribes ,( ! am\nt made available to c>ry out ?is section = a fiscal ye>1 ! ,secret>y %all use n less ?an #aj p]c5t ( su* am\nt = grants to eligible entities t are ,indian tribes4 7#c7 ,adm9i/rative exp5ses ,( ! am\nt made available to c>ry out ?is section = a fiscal ye>1 ! ,secret>y may use n m ?an #ae p]c5t ( su* am\nt = adm9i/rative exp5ses1 includ+ ! exp5ses ( ! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices = compil+ & report+ in=mation4 7#d7 ,te*nical assi/ance ,( ! am\nt made available to c>ry out ?is section = a fiscal ye>1 ! ,secret>y may res]ve up to #e p]c5t ( su* am\nt to provide te*nical assi/ance to eligible entities 9 prep>+ & submitt+ applications "u ?is section4 4