,,ii #aafth ,,congress #ast ,session ,s4 #aggj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #aj1 #bjai ,mr4 ,durbin 7for himself1 ,mrs4 ,capito1 ,ms4 ,duckworth1 and ,ms4 ,murkowski7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to improve the identification and support of children and families who experience trauma4 #a4 ,short title ,this ,act may be cited as the ,resilience ,investment1 ,support1 and ,expansion from ,trauma ,act or the ,,rise from ,trauma ,act4 ,i ,community programming #aja4 ,trauma-related coordinating bodies ,title ,v of the ,public ,health ,service ,act is amended by inserting after section #ebj;,a 7#db ,u4,s4,c4 #bij;bb-#cb7 the following3 #ebj;,b4 ,trauma-related coordinating bodies to address community trauma 7a7 ,grants 7#a7 ,in general ,the ,secretary1 acting through the ,assistant ,secretary1 shall award grants to ,state1 county1 local1 or ,indian tribe or tribal organizations 7as such terms are defined in section #d of the ,indian ,self-,determination ,act and ,education ,assistance ,act7 or nonprofit private entities for demonstration projects to enable such entities to act as coordinating bodies to address community trauma4 7#b7 ,amount ,the ,secretary shall award such grants in amounts of not more than #d1jjj1jjj4 7#c7 ,duration ,the ,secretary shall award such grants for periods of #d years4 7b7 ,eligible entities 7#a7 ,in general ,to be eligible to receive a grant under this section1 an entity shall include #a or more representatives of each of the categories described in paragraph 7#b74 7#b7 ,composition ,the categories referred to in paragraph 7#a7 are-- 7,a7 governmental agencies1 such as public health1 human services1 or child welfare agencies1 that conduct activities to screen1 assess1 provide services or referrals1 prevent1 or provide treatment to support infants1 children1 youth1 and their families as appropriate1 that have experienced or are at risk of experiencing trauma2 7,b7 faculty or qualified staff at an institution of higher education 7as defined in section #aja7;a7 of the ,higher ,education ,act of #aife7 or representatives of a member of the ,national ,child ,traumatic ,stress ,network1 in an area related to screening1 assessment1 service provision or referral1 prevention1 or treatment to support infants1 children1 youth1 and their families1 as appropriate1 that have experienced or are at risk of experiencing trauma2 7,c7 hospitals1 health care clinics1 or other health care institutions1 such as mental health and substance use treatment facilities2 7,d7 criminal justice representatives related to adults and juveniles1 which may include law enforcement or judicial or court employees2 7,e7 local educational agencies or agencies responsible for early childhood education programs1 which may include ,head ,start and ,early ,head ,start agencies2 7,f7 community-based faith1 human services1 or social services organizations1 including providers of after-school programs1 home visiting programs1 agencies that serve victims of domestic and family violence and child sexual abuse1 or programs to prevent or address the impact of violence and addiction2 and 7,g7 the general public1 including individuals who have experienced trauma4 7#c7 ,qualifications ,in order for an entity to be eligible to receive the grant under this section1 the representatives included in the entity shall1 collectively1 have professional training and expertise concerning childhood trauma and evidence-based1 evidence-informed1 and promising best practices to prevent and mitigate the impact of exposure to trauma4 7c7 ,application ,to be eligible to receive a grant under this section1 an entity shall submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require1 including information describing how the coordinating body funded under the grant will continue its activities after the end of the grant period4 7d7 ,priority ,in awarding grants under this section1 the ,secretary shall give priority to entities proposing to serve communities that have faced high rates of community trauma1 including from intergenerational poverty1 civil unrest1 discrimination1 or oppression1 which may include an evaluation of-- 7#a7 an age-adjusted rate of drug overdose deaths that is above the national overdose mortality rate1 as determined by the ,director of the ,centers for ,disease ,control and ,prevention2 and 7#b7 an age-adjusted rate of violence-related 7or intentional7 injury deaths that is above the national average1 as determined by the ,director of the ,centers for ,disease ,control and ,prevention4 7e7 ,use of funds ,an entity that receives a grant under this section to act as a coordinating body shall use the grant funds-- 7#a7 to bring together stakeholders who provide or use services in1 or have expertise concerning1 covered settings to identify community needs and resources related to services to prevent or address the impact of trauma1 and to build on any needs assessments conducted by organizations or groups represented on the coordinating body2 7#b7 7,a7 to collect data1 on indicators specified by the ,secretary1 that covers multiple covered settings2 and 7,b7 to use the data to identify unique community challenges and barriers1 gaps in services1 and high-need areas1 related to services to prevent or address the impact of trauma2 7#c7 to build awareness1 skills1 and leadership 7including through trauma-informed training and public outreach campaigns7 related to implementing the best practices developed under section #gacb7;d7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga7 7referred to in this subsection as the developed best practices72 and 7#d7 to develop a strategic plan that identifies-- 7,a7 policy goals and coordination opportunities 7including coordination in applying for grants7 relating to implementing the developed best practices2 and 7,b7 a comprehensive1 integrated approach for the entity and its members to prevent and mitigate the impact of exposure to trauma in the community1 and to assist the community in healing from existing and prior exposure to trauma4 7f7 ,supplement not supplant ,amounts made available under this section shall be used to supplement and not supplant other ,federal1 ,state1 and local public funds and private funds expended to provide trauma-related coordination activities4 7g7 ,evaluation ,at the end of the period for which grants are awarded under this section1 the ,secretary shall conduct an evaluation of the activities carried out under each grant under this section4 ,in conducting the evaluation1 the ,secretary shall assess the outcomes of the grant activities carried out by each grant recipient4 7h7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #ej1jjj1jjj for the period of fiscal years #bjbj through #bjbc4 7i7 ,definition ,in this section1 the term covered setting means the settings in which individuals may come into contact with infants1 children1 youth1 and their families1 as appropriate1 who have experienced or are at risk of experiencing trauma1 including schools1 hospitals1 settings where health care providers1 including primary care and pediatric providers1 provide services1 early childhood education and care settings1 home visiting settings1 after-school program facilities1 child welfare agency facilities1 public health agency facilities1 mental health treatment facilities1 substance use treatment facilities1 faith-based institutions1 domestic violence agencies1 child advocacy centers1 homeless services system facilities1 refugee services system facilities1 juvenile justice system facilities1 law enforcement agency facilities1 ,healthy ,marriage ,promotion or ,responsible ,fatherhood service settings1 child support service settings1 and service settings focused on individuals eligible for ,temporary ,assistance for ,needy ,families4 4 #ajb4 ,expansion of performance partnership pilot for children who have experienced or are at risk of experiencing trauma ,section #ebf of the ,departments of ,labor1 ,health and ,human ,services1 and ,education1 and ,related ,agencies ,appropriations ,act1 #bjad 7#db ,u4,s4,c4 #abcja note7 is amended-- 7#a7 in subsection 7a71 by adding at the end the following3 7#d7 ,to improve outcomes for infants1 children1 and youth1 and their families as appropriate1 who have experienced or are at risk of experiencing trauma means to increase the rate at which individuals who have experienced or are at risk of experiencing trauma1 including those who are low-income1 homeless1 involved with the child welfare system1 involved in the juvenile justice system1 unemployed1 or not enrolled in or at risk of dropping out of an educational institution and live in a community that has faced acute or long-term exposure to substantial discrimination1 historical oppression1 intergenerational poverty1 civil unrest1 a high rate of violence or drug overdose deaths1 achieve success in meeting educational1 employment1 health1 developmental1 community reentry1 permanency from foster care1 or other key goals4 2 7#b7 in subsection 7b7-- 7,a7 in the subsection heading1 by striking fiscal year #bjad and inserting fiscal years #bjbj through #bjbd2 7,b7 by redesignating paragraphs 7#a7 and 7#b7 as subparagraphs 7,a7 and 7,b71 respectively1 and by moving such subparagraphs1 as so redesignated1 #b ems to the right2 7,c7 by striking ,federal agencies and inserting the following3 7#a7 ,disconnected youth pilots ,federal agencies 2 and 7,d7 by adding at the end the following3 7#b7 ,trauma-informed care pilots 7,a7 ,in general ,federal agencies may use ,federal discretionary funds that are made available in this ,act or any appropriations ,act for any of fiscal years #bjbj through #bjbd to carry out up to #aj ,performance ,partnership ,pilots4 ,such ,pilots shall-- 7i7 be designed to improve outcomes for infants1 children1 and youth1 and their families as appropriate1 who have experienced or are at risk of experiencing trauma2 and 7ii7 involve ,federal programs targeted on infants1 children1 and youth1 and their families as appropriate1 who have experienced or are at risk of experiencing trauma4 7,b7 ,priority ,in making funds available under this paragraph1 a ,federal agency shall give priority to entities that receive grants under section #ebj;,b of the ,public ,health ,service ,act4 2 7#c7 in subsection 7c77#b7-- 7,a7 in subparagraph 7,a71 by striking #bjah and inserting #bjbc2 and 7,b7 in subparagraph 7,f71 by inserting before the semicolon 1 including the age range for such population2 and 7#d7 in subsection 7e71 by striking #bjah and inserting #bjbc4 #ajc4 ,national and community service 7a7 ,service-,learning ,section #aac7;a77#b7 of the ,national and ,community ,service ,act of #aiij 7#db ,u4,s4,c4 #abebe7;a77#b77 is amended-- 7#a7 in subparagraph 7,c71 by striking and at the end2 7#b7 in subparagraph 7,d71 by striking the period and inserting 1 and2 and 7#c7 by adding at the end the following3 7,e7 information describing how the applicant will give priority1 in reviewing applications under subsection 7b71 to entities that propose service-learning programs in communities with high levels of trauma 7as defined in section #ebj;,b of the ,public ,health ,service ,act74 4 7b7 ,americorps recruitment ,section #acj7;b77#e7 of the ,national and ,community ,service ,act of #aiij 7#db ,u4,s4,c4 #abehb7;b77#e77 is amended by inserting after and women1 the following3 and to give priority 7to the maximum extent practicable7 to recruitment of participants from communities with high levels of trauma 7as defined in section #ebj;,b of the ,public ,health ,service ,act714 7c7 ,americorps ,state programs ,section #acj7;c7 of the ,national and ,community ,service ,act of #aiij 7#db ,u4,s4,c4 #abehb7;c77 is amended by adding at the end the following3 7#d7 ,in the case of a ,state or territory described in section #abi7;e71 an assurance that the ,state or territory1 in distributing grant funds made available under that section1 will give priority to entities proposing national service programs that are related to the provision of trauma-informed services in communities with high levels of trauma 7as defined in section #ebj;,b of the ,public ,health ,service ,act74 4 7d7 ,americorps competitive programs ,section #acc7;d77#b7 of the ,national and ,community ,service ,act of #aiij 7#db ,u4,s4,c4 #abehe7;d77#b77 is amended-- 7#a7 in subparagraph 7,b71 by striking and at the end2 7#b7 in subparagraph 7,c71 by striking the period and inserting 2 and2 and 7#c7 by adding at the end the following3 7,d7 national service programs that are related to the provision of trauma-informed services in communities with high levels of trauma 7as defined in section #ebj;,b of the ,public ,health ,service ,act74 4 #ajd4 ,hospital-based interventions to reduce readmissions ,section #iaa of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bii;b7 is amended by adding at the end the following3 7c7 ,hospital-,based interventions ,to reduce readmissions 7#a7 ,grants ,the ,secretary1 acting through the ,director of the ,agency1 shall award grants to eligible entities to evaluate hospital-based interventions to reduce subsequent readmissions of patients that present at a hospital after overdosing1 attempting suicide1 or suffering violent injury or abuse4 7#b7 ,eligible entities ,to be eligible to receive a grant under this subsection and entity shall-- 7,a7 be a hospital or health system 7including health systems operated by ,indian tribes or tribal organizations as such terms are defined in section #d of the ,indian ,self-,determination ,act and ,education ,assistance ,act72 and 7,b7 submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require1 which shall include demonstrated experience furnishing successful hospital-based trauma interventions to improve outcomes for patients presenting after overdosing1 attempting suicide1 or suffering violent injury or abuse4 7#c7 ,use of funds ,an entity shall use amounts received under a grant under this subsection to test and evaluate hospital-based trauma-informed interventions for patients who present at hospitals with drug overdoses1 suicide attempts1 and violent injuries 7such as domestic violence or intentional penetrating wounds1 including gunshots and stabbings7 to provide comprehensive education1 screening1 counseling1 discharge planning1 skills building1 and long-term case management services to prevent hospital readmission1 injury1 and improve health and safety outcomes4 ,such interventions may be furnished in coordination or partnership with qualified community-based organizations and may include or incorporate the best practices developed under section #gacb7;d7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga74 7#d7 ,quality measures ,an entity that receive a grant under this section shall submit to the ,secretary a report on the data and outcomes developed under the grant1 including any quality measures developed to prevent hospital readmissions for the patients served under the program involved4 4 #aje4 ,supporting at-risk and trauma-exposed students with arts opportunities ,section #e7;c7 of the ,national ,foundation on the ,arts and ,humanities ,act of #aife 7#bj ,u4,s4,c4 #ied7;c77 is amended-- 7#a7 in paragraph 7#i71 by striking and at the end2 7#b7 in paragraph 7#aj71 by striking the period and inserting 2 and2 and 7#c7 by inserting after paragraph 7#aj71 the following3 7#aa7 projects1 programs1 and workshops that provide therapy and creative expression opportunities through the arts for children1 and their families as appropriate1 who have experienced or are at risk of experiencing trauma4 4 #ajf4 ,ensuring parity for infant1 early childhood1 and youth mental health ,part ,k of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bijll et seq47 is amended-- 7#a7 by redesignating section #eej 7#db ,u4,s4,c4 #bij;ee-#aj71 relating to sobriety treatment and recovery teams1 as section #eih2 and 7#b7 by adding at the end the following3 #eii4 ,infant and early childhood mental health parity 7a7 ,in general ,the ,secretary1 in coordination with the ,secretary of ,labor and the ,secretary of ,education1 shall award grants to1 or enter into cooperative agreements with1 ,states to ensure that health insurance issuers in the ,state comply with section #bgbf1 as such section applies to infant and early childhood mental and behavioral health4 7b7 ,use of grant ,a ,state shall use amounts received under a grant or cooperative agreement under this section to-- 7#a7 establish clear guidelines for parity compliance for infant and early childhood mental health that are evidence-based2 7#b7 align parity compliance with best practices for meeting an infant's ,individualized ,family ,service ,plan under part ,c of the ,individuals with ,disabilities ,education ,act or a preschool aged child's ,individualized ,education ,plan under part ,b of such ,act1 as well as providing ,coordinated ,early ,intervening ,services under part ,b of such ,act to preschool age children2 7#c7 engage with health insurance issuers to ensure that they comply with the guidelines promulgated and other provisions of section #bgbf1 as such section applies to infant and early childhood mental health2 7#d7 ensure health insurance issuer compliance through audits1 market conduct examinations1 secret shopper programs1 or other means2 7#e7 share learnings with other ,states who receive grants under this section2 and 7#f7 submit a report to the ,secretary1 the ,secretary of ,labor1 and the ,secretary of ,education1 on findings1 actions1 recommendations1 and any such other information as such ,secretaries shall require4 7c7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section1 #aj1jjj1jjj for each of fiscal years #bjbj through #bjbd4 4 #ajg4 ,streamlining and coordinating trauma grant funding ,not later than #b years after the date of enactment of this ,act1 the ,director of the ,office of ,management and ,budget1 in coordination with the ,task ,force created under section #gacb of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga71 shall review the ,federal grant programs and funding streams with relevance or potential to furnish the best practices developed under section #gacb7;d7 of such ,act for preventing and mitigating the impact of trauma1 and issue guidance to agencies on the following3 7#a7 ,aligning measurement1 reporting1 and timelines for ,federal funds used to address community trauma4 7#b7 ,leveraging different ,federal funding streams to enable effective data sharing1 integration1 and privacy to support coordination for addressing community trauma4 7#c7 ,consistency in eligibility requirements and enrollment pathways for ,federal funding to facilitate strategies for addressing community trauma4 7#d7 ,support for community-level planning activities that advance the overall policy goals of each ,federal funding stream4 7#e7 ,modeling the long-term budgetary benefits of preventing or mitigating community trauma4 7#f7 ,the inclusion of trauma impact statements within relevant grants focused on serving children and families4 #ajh4 ,measuring savings from trauma-informed interventions 7a7 ,identification of effective interventions ,the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,planning and ,evaluation1 and in coordination with the ,attorney ,general1 the ,secretary of ,education1 and the ,secretary of ,labor1 shall conduct a review and analysis of the best practices developed under section #gacb7;d7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga7 7referred to in this section as the developed best practices7 that can be furnished through a ,federal grant or health insurance program to prevent and mitigate the impact of trauma among infants1 children1 and youth1 and their families1 as appropriate1 and identify those practices which hold the most promise to reduce long-term costs and spending associated with children1 including health care and child welfare costs4 7b7 ,conduct of review ,in conducting the review and analysis under subsection 7a71 the ,assistant ,secretary may-- 7#a7 solicit public input on the review design1 findings1 and conclusions2 and 7#b7 examine methods for evaluating whether the developed best practices were effectively implemented and the predicted outcomes and savings are likely to be achieved1 which may include competency and testing approaches1 and performance or outcome measures4 7c7 ,updates ,the set of best practices identified under subsection 7a7 as holding promise to reduce costs shall be updated at regular intervals4 7d7 ,evaluating ,long-,term ,savings ,associated with the ,interventions ,the ,director of the ,office of ,management and ,budget shall analyze1 determine1 and publicly report the cost-savings across the ,federal budget over #bj years1 including an appropriate discount rate1 associated with the effective implementation of the interventions identified in subsection 7a71 when applied in a representative population of children participating in all such appropriate ,federal grant or health insurance programs in a given year1 and update these determinations at least every #e years4 ,,ii ,workforce development #bja4 ,diversity training for individuals from communities that have experienced high levels of trauma1 violence1 or addiction ,part ,b of title ,,vii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bic et seq47 is amended by adding at the end the following3 #gdb4 ,individuals from communities that have experienced high levels of trauma1 violence1 or addiction ,in carrying out activities under this part1 the ,secretary shall ensure that emphasis is provided on the recruitment of individuals from communities that have experienced high levels of trauma1 violence1 or addiction and that appropriate activities under this part are carried out in partnership with community-based organizations that have expertise in addressing such challenges to enhance service delivery4 4 #bjb4 ,funding for the ,national ,health ,service ,corps ,section #ajejc7;b77#b7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#b77 is amended-- 7#a7 in subparagraph 7,e71 by striking and at the end2 7#b7 in subparagraph 7,f71 by striking the period and inserting 2 and2 and 7#c7 by adding at the end the following3 7,g7 #cfj1jjj1jjj for each of fiscal years #bjbj through #bjbd4 4 #bjc4 ,infant and early childhood clinical workforce ,part ,p of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g7 is amended by adding at the end the following3 #cii,v-#g4 ,infant and early childhood clinical workforce 7a7 ,in general ,the ,secretary1 acting through the ,associate ,administrator of the ,maternal and ,child ,health ,bureau1 shall establish an ,infant and ,early ,childhood ,clinical ,mental ,health ,leadership ,program to award grants to eligible entities to establish training institutes and centers of excellence for infant and early childhood clinical mental health4 7b7 ,eligible entities ,to be eligible to receive a grant under this section1 an entity shall-- 7#a7 be-- 7,a7 an institution of higher education as defined in section #aja7;a7 of the ,higher ,education ,act of #aife2 or 7,b7 be a hospital with affiliation with such an institution of higher education1 or a ,state professional medical society or association of infant mental health demonstrating an affiliation or partnership with such an institution of higher education2 and 7#b7 submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require4 7c7 ,use of grant ,an entity shall use amounts received under a grant under this section to establish statewide training institutes or centers of excellence for licensed clinical social workers1 licensed professional counselors1 licensed marriage and family therapists1 clinical psychologists1 child psychiatrists1 school psychologists1 nurses1 and developmental and behavioral pediatricians on infant and early childhood clinical mental health1 with an emphasis on screening1 assessment1 service provision or referral1 prevention1 and treatment for infants and children who have experienced or are at risk of experiencing trauma1 as well as prevention of secondary trauma1 through-- 7#a7 the provision of community-based training and supervision in evidence-based assessment1 diagnosis1 and treatment1 which may be conducted through partnership with qualified community-based organizations2 7#b7 the development of graduate education training tracks2 7#c7 the provision of scholarships and stipends1 including to enhance recruitment from under-represented populations in the mental health workforce2 and 7#d7 the provision of mid-career training to develop the capacity of existing health practitioners4 7d7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section1 #be1jjj1jjj for each of fiscal years #bjbj through #bjbd4 4 #bjd4 ,trauma-informed teaching and school leadership 7a7 ,partnership grants ,section #bjb of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajbb;a7 is amended-- 7#a7 in subsection 7b77#f7-- 7,a7 by redesignating subparagraphs 7,h7 through 7,k7 as subparagraphs 7,i7 through 7,l71 respectively2 and 7,b7 by inserting after subparagraph 7,g7 the following3 7,h7 how the partnership will prepare general education and special education teachers1 including early childhood educators1 to support positive learning outcomes and social and emotional development for students who have experienced trauma 7including students who are involved in the foster care or juvenile justice systems or runaway or homeless youth7 and in alternative education settings in which high populations of youth with trauma exposure may learn 7including settings for correctional education1 juvenile justice1 pregnant and parenting students1 or youth who have re-entered school after a period of absence due to dropping out72 2 7#b7 in subsection 7d77#a77;,a77i7-- 7,a7 in subclause 7,,ii71 by striking and after the semicolon2 7,b7 by redesignating subclause 7,,iii7 as subclause 7,,iv72 and 7,c7 by inserting after subclause 7,,ii7 the following3 7,,iii7 such teachers1 including early childhood educators1 to adopt evidence-based approaches for improving behavior 7such as positive behavior interventions and supports and restorative justice71 supporting social and emotional learning1 mitigating the effects of trauma1 improving the learning environment in the school1 preventing secondary trauma1 compassion fatigue1 and burnout1 and for alternatives to suspensions1 expulsions1 corporal punishment1 referrals to law enforcement1 and other actions that remove students from the learning environment2 and 2 and 7#c7 in subsection 7d71 by adding at the end the following3 7#g7 ,trauma-informed practice and work in alternative education settings ,developing the teaching skills of prospective and1 as applicable1 new1 early childhood1 elementary school1 and secondary school teachers to adopt evidence-based trauma-informed teaching strategies-- 7,a7 to-- 7i7 recognize the signs of trauma and its impact on learning2 7ii7 maximize student engagement and promote the social and emotional development of students2 and 7iii7 implement alternative practices to suspension and expulsion that do not remove students from the learning environment2 and 7,b7 including programs training teachers1 including early childhood educators1 to work with students with exposure to traumatic events 7including students involved in the foster care or juvenile justice systems or runaway and homeless youth7 and in alternative academic settings for youth unable to participate in a traditional public school program in which high populations of students with trauma exposure may learn 7such as students involved in the foster care or juvenile justice systems1 pregnant and parenting students1 runaway and homeless students1 and other youth who have re-entered school after a period of absence due to dropping out74 4 7b7 ,administrative provisions ,section #bjc7;b77#b7 of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajbb;b7b77#b77 is amended-- 7#a7 in subparagraph 7,a71 by striking and after the semicolon2 7#b7 in subparagraph 7,b71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7,c7 to eligible partnerships that have a high-quality proposal for trauma training programs for general education and special education teachers1 including early childhood educators4 4 7c7 ,grants for the development of leadership programs ,section #bjb7;f77#a77;,b7 of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajbb;a7f77#a77;,b77 is amended-- 7#a7 in clause 7v71 by striking and at the end2 7#b7 in clause 7vi71 by striking the period and inserting 2 and2 and 7#c7 by adding at the end the following3 7vii7 identify students who have experienced trauma and connect those students with appropriate school-based or community-based interventions and services4 4 #bje4 ,tools for front-line providers ,not later than #ah months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services1 in coordination with appropriate stakeholders with subject matter expertise which may include the ,national ,child ,traumatic ,stress ,network1 shall carry out activities to develop accessible and easily understandable toolkits for use by front-line service providers 7including teachers1 early childhood educators1 school leaders1 mentors1 social workers1 counselors1 faith leaders1 first responders1 kinship caregivers7 for appropriately identifying1 responding to1 and supporting infants1 children1 and youth1 and their families1 as appropriate1 who have experienced or are at risk of experiencing trauma4 ,front-line service providers may also include programs focused on adults whose children or who themselves have experienced trauma1 including programs related to ,healthy ,marriage and ,responsible ,fatherhood1 child support1 and ,temporary ,assistance to ,needy ,families4 ,such toolkits shall incorporate best practices developed under section #gacb7;d7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga71 and include actions to build a safe1 stable1 and nurturing environment for the infants1 children1 and youth served in those settings1 capacity building1 and strategies for addressing the impact of secondary trauma1 compassion fatigue1 and burnout among such front-line service providers4 #bjf4 ,children ,exposed to ,violence ,initiative ,title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#cd ,u4,s4,c4 #ajaja7 is amended by adding at the end the following3 ,,oo ,children exposed to violence and addiction initiative #cjea4 ,grants to identify and support children exposed to violence and substance use 7a7 ,in general ,the ,attorney ,general may make grants to ,states1 units of local government1 ,indian tribes and tribal organizations 7as such terms are defined in section #d of the ,indian ,self-,determination ,act and ,education ,assistance ,act71 and nonprofit organizations to reduce violence and substance use by preventing exposure to trauma1 violence1 or substance use and identifying and supporting infants1 children1 and youth1 and their families1 as appropriate1 exposed to trauma1 violence1 or substance use4 7b7 ,use of funds ,a grant under subsection 7a7 may be used to implement trauma-informed policies and practices that support infants1 children1 youth1 and their families1 as appropriate1 by-- 7#a7 building public awareness and education1 and improving policies and practices2 7#b7 providing training1 tools and resources to develop the skills and capacity of parents 7including foster parents71 adult guardians1 and professionals who interact directly with infants1 children1 and youth1 and their families1 as appropriate1 in an organized or professional setting1 including through the best practices developed under section #gacb7;d7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga72 and 7#c7 providing technical assistance to communities1 organizations1 and public agencies on how to prevent and mitigate the impact of exposure to trauma1 violence1 and substance use4 7c7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #aa1jjj1jjj for each of fiscal years #bjbj through #bjbd4 4 #bjg4 ,establishment of law enforcement child and youth trauma coordinating center 7a7 ,establishment of center 7#a7 ,in general ,the ,attorney ,general shall establish a ,national ,law ,enforcement ,child and ,youth ,trauma ,coordinating ,center 7referred to in this section as the ,center7 to provide assistance to adult- and juvenile-serving ,state1 local1 and tribal law enforcement agencies 7including those operated by ,indian tribes and tribal organizations as such terms are defined in section #d of the ,indian ,self-,determination ,act and ,education ,assistance ,act7 in interacting with infants1 children1 and youth who have been exposed to violence or other trauma1 and their families as appropriate4 7#b7 ,age range ,the ,center shall determine the age range of infants1 children1 and youth to be covered by the activities of the ,center4 7b7 ,duties ,the ,center shall provide assistance to adult- and juvenile-serving ,state1 local1 and tribal law enforcement agencies by-- 7#a7 disseminating information on the best practices for law enforcement officers1 which may include best practices based on evidence-based and evidence-informed models from programs of the ,department of ,justice and the ,office of ,justice ,services of the ,bureau of ,indian ,affairs or the best practices developed under section #gacb7;d7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga71 such as-- 7,a7 models developed in partnership with national law enforcement organizations1 ,indian tribes1 or clinical researchers2 and 7,b7 models that include-- 7i7 trauma-informed approaches to conflict resolution1 information gathering1 forensic interviewing1 de-escalation1 and crisis intervention training2 7ii7 early interventions that link child and youth witnesses and victims1 and their families as appropriate1 to age-appropriate trauma-informed services2 and 7iii7 preventing and supporting officers who experience secondary trauma2 7#b7 providing professional training and technical assistance2 and 7#c7 awarding grants under subsection 7c74 7c7 ,grant program 7#a7 ,in general ,the ,attorney ,general1 acting through the ,center1 may award grants to ,state1 local1 and tribal law enforcement agencies or to multi-disciplinary consortia to-- 7,a7 enhance the awareness of best practices for trauma-informed responses to infants1 children1 and youth who have been exposed to violence or other trauma1 and their families as appropriate2 and 7,b7 provide professional training and technical assistance in implementing the best practices described in subparagraph 7,a74 7#b7 ,application ,any ,state1 local1 or tribal law enforcement agency seeking a grant under this subsection shall submit an application to the ,attorney ,general at such time1 in such manner1 and containing such information as the ,attorney ,general may require4 7#c7 ,use of funds ,a grant awarded under this subsection may be used to-- 7,a7 provide training to law enforcement officers on best practices1 including how to identify and appropriately respond to early signs of trauma and violence exposure when interacting with infants1 children1 and youth1 and their families1 as appropriate2 and 7,b7 establish1 operate1 and evaluate a referral and partnership program with trauma-informed clinical mental health1 substance use1 health care1 or social service professionals in the community in which the law enforcement agency serves4 7d7 ,authorization of appropriations ,there are authorized to be appropriated to the ,attorney ,general-- 7#a7 #f1jjj1jjj for each of fiscal years #bjbj through #bjbd to award grants under subsection 7c72 and 7#b7 #b1jjj1jjj for each of fiscal years #bjbj through #bjbd for other activities of the ,center4 #bjh4 ,national ,institutes of ,health report on trauma ,not later than #a year after the date of the enactment of this ,act1 the ,director of the ,national ,institutes of ,health shall submit to ,congress a report on the activities of the ,national ,institutes of ,health with respect to trauma 7including trauma that stems from child abuse1 exposure to violence1 addiction and substance use1 and toxic stress7 and the implications of trauma for infants1 children1 and youth1 and their families1 as appropriate4 ,such report shall include-- 7#a7 the comprehensive research agenda of the ,national ,institutes of ,health with respect to trauma2 7#b7 the capacity1 expertise1 and review mechanisms of the ,national ,institutes of ,health with respect to the evaluation and examination of research proposals related to child trauma1 including coordination across institutes and centers and inclusion of trauma impact statements within relevant grants focused on serving children and families2 7#c7 the relevance of trauma to other diseases1 outcomes1 and domains2 7#d7 strategies to link and analyze data from multiple independent sources1 including child welfare1 health care 7including mental health care71 law enforcement1 and education systems1 to enhance research efforts and improve health outcomes2 7#e7 the efficacy of existing interventions1 including clinical treatment methods1 child- and family-focused prevention models1 and community-based approaches1 in mitigating the effects of experiencing trauma and improving health and societal outcomes2 and 7#f7 identification of gaps in understanding in the field of trauma and areas of greatest need for further research related to trauma4