,,ii #aaf? ,,congress #a/ ,session ,s4 #aggj ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #aj1 #bjai ,mr4 ,durb9 7= himself1 ,mrs4 ,capito1 ,ms4 ,duckwor?1 & ,ms4 ,murk[ski7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to improve ! id5tification & support ( *ildr5 & families :o exp]i5ce trauma4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,resili5ce ,inve/m5t1 ,support1 & ,expansion f ,trauma ,act or ! ,,rise f ,trauma ,act4 ,i ,community programm+ #aja4 ,trauma-relat$ coord9at+ bodies ,title ,v ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ebj;,a 7#db ,u4,s4,c4 #bij;bb-#cb7 ! foll[+3 #ebj;,b4 ,trauma-relat$ coord9at+ bodies to address community trauma 7a7 ,grants 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y1 %all aw>d grants to ,/ate1 c\nty1 local1 or ,indian tribe or tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation ,act & ,education ,assi/ance ,act7 or nonpr(it private entities = demon/ration projects to enable su* entities to act z coord9at+ bodies to address community trauma4 7#b7 ,am\nt ,! ,secret>y %all aw>d su* grants 9 am\nts ( n m ?an #d1jjj1jjj4 7#c7 ,duration ,! ,secret>y %all aw>d su* grants = p]iods ( #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 gov]nm5tal ag5cies1 su* z public heal?1 human s]vices1 or *ild welf>e ag5cies1 t conduct activities to scre51 assess1 provide s]vices or ref]rals1 prev5t1 or provide treatm5t to support infants1 *ildr51 y\?1 & _! families z appropriate1 t h exp]i5c$ or are at risk ( exp]i5c+ trauma2 7,b7 faculty or qualifi$ /aff at an in/itution ( high] education 7z def9$ 9 section #aja7;a7 ( ! ,high] ,education ,act ( #aife7 or repres5tatives ( a memb] ( ! ,national ,*ild ,traumatic ,/ress ,network1 9 an area relat$ to scre5+1 assessm5t1 s]vice provision or ref]ral1 prev5tion1 or treatm5t to support infants1 *ildr51 y\?1 & _! families1 z appropriate1 t h exp]i5c$ or are at risk ( exp]i5c+ trauma2 7,c7 hospitals1 heal? c>e cl9ics1 or o!r heal? c>e in/itutions1 su* z m5tal heal? & sub/ance use treatm5t facilities2 7,d7 crim9al ju/ice repres5tatives relat$ to adults & juv5iles1 :i* may include law en=cem5t or judicial or c\rt employees2 7,e7 local educational ag5cies or ag5cies responsible = e>ly *ildhood education programs1 :i* may include ,head ,/>t & ,e>ly ,head ,/>t ag5cies2 7,f7 community-bas$ fai?1 human s]vices1 or social s]vices organizations1 includ+ provid]s ( aft]-s*ool programs1 home visit+ programs1 ag5cies t s]ve victims ( dome/ic & family viol5ce & *ild sexual abuse1 or programs to prev5t or address ! impact ( viol5ce & addiction2 & 7,g7 ! g5]al public1 includ+ individuals :o h exp]i5c$ trauma4 7#c7 ,qualifications ,9 ord] = an entity to be eligible to receive ! grant "u ?is section1 ! repres5tatives includ$ 9 ! entity %all1 collectively1 h pr(essional tra9+ & exp]tise conc]n+ *ildhood trauma & evid5ce-bas$1 evid5ce-in=m$1 & promis+ be/ practices to prev5t & mitigate ! impact ( exposure to trauma4 7c7 ,application ,to be eligible to receive a grant "u ?is section1 an entity %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+ in=mation describ+ h[ ! coord9at+ body fund$ "u ! grant w cont9ue its activities aft] ! end ( ! grant p]iod4 7d7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to entities propos+ to s]ve communities t h fac$ high rates ( community trauma1 includ+ f int]g5]ational pov]ty1 civil unre/1 discrim9ation1 or oppression1 :i* may include an evaluation (-- 7#a7 an age-adju/$ rate ( drug ov]dose dea?s t is above ! national ov]dose mortality rate1 z det]m9$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion2 & 7#b7 an age-adju/$ rate ( viol5ce-relat$ 7or int5tional7 injury dea?s t is above ! national av]age1 z det]m9$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7e7 ,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 s]vices to prev5t or address ! impact ( 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 *all5ges & b>ri]s1 gaps 9 s]vices1 & high-ne$ areas1 relat$ to s]vices to prev5t or address ! impact ( trauma2 7#c7 to build aw>5ess1 skills1 & lead]%ip 7includ+ ?r\gh trauma-in=m$ tra9+ & public outrea* campaigns7 relat$ to implem5t+ ! be/ practices develop$ "u section #gacb7;d7 ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga7 7ref]r$ to 9 ?is subsection z ! develop$ be/ practices72 & 7#d7 to develop a /rategic plan t id5tifies-- 7,a7 policy goals & coord9ation opportunities 7includ+ coord9ation 9 apply+ = grants7 relat+ to implem5t+ ! develop$ be/ practices2 & 7,b7 a compreh5sive1 integrat$ approa* = ! entity & its memb]s to prev5t & mitigate ! impact ( exposure to trauma 9 ! community1 & to assi/ ! community 9 heal+ f exi/+ & prior exposure to trauma4 7f7 ,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 7g7 ,evaluation ,at ! end ( ! p]iod = :i* grants are aw>d$ "u ?is section1 ! ,secret>y %all conduct an evaluation ( ! activities c>ri$ out "u ea* grant "u ?is section4 ,9 conduct+ ! evaluation1 ! ,secret>y %all assess ! outcomes ( ! grant activities c>ri$ out by ea* grant recipi5t4 7h7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #ej1jjj1jjj = ! p]iod ( fiscal ye>s #bjbj ?r\gh #bjbc4 7i7 ,def9ition ,9 ?is section1 ! t]m cov]$ sett+ means ! sett+s 9 :i* individuals may come into contact ) infants1 *ildr51 y\?1 & _! families1 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$iatric provid]s1 provide s]vices1 e>ly *ildhood education & c>e sett+s1 home visit+ sett+s1 aft]-s*ool program facilities1 *ild welf>e ag5cy facilities1 public heal? ag5cy facilities1 m5tal heal? treatm5t facilities1 sub/ance use treatm5t facilities1 fai?-bas$ in/itutions1 dome/ic viol5ce ag5cies1 *ild advocacy c5t]s1 homeless s]vices sy/em facilities1 refugee s]vices sy/em facilities1 juv5ile ju/ice sy/em facilities1 law en=cem5t ag5cy facilities1 ,heal?y ,m>riage ,promotion or ,responsible ,fa!rhood s]vice sett+s1 *ild support s]vice sett+s1 & s]vice sett+s focus$ on individuals eligible = ,tempor>y ,assi/ance = ,ne$y ,families4 4 #ajb4 ,expansion ( p]=mance p>tn]%ip pilot = *ildr5 :o h exp]i5c$ 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$-- 7#a7 9 subsection 7a71 by add+ at ! end ! foll[+3 7#d7 ,to improve outcomes = infants1 *ildr51 & y\?1 & _! families z appropriate1 :o h exp]i5c$ 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 involv$ ) ! *ild welf>e sy/em1 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 a high rate ( viol5ce or drug ov]dose dea?s1 a*ieve success 9 meet+ educational1 employm5t1 heal?1 developm5tal1 community re5try1 p]man5cy f fo/] c>e1 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 #bjbj ?r\gh #bjbd2 7,b7 by r$esignat+ p>agraphs 7#a7 & 7#b7 z subp>agraphs 7,a7 & 7,b71 respectively1 & by mov+ su* subp>agraphs1 z s r$esignat$1 #b ems to ! "r2 7,c7 by /rik+ ,f$]al ag5cies & ins]t+ ! foll[+3 7#a7 ,disconnect$ y\? pilots ,f$]al ag5cies 2 & 7,d7 by add+ at ! end ! foll[+3 7#b7 ,trauma-in=m$ c>e pilots 7,a7 ,9 g5]al ,f$]al ag5cies may use ,f$]al discretion>y funds t are made available 9 ?is ,act or any appropriations ,act = any ( fiscal ye>s #bjbj ?r\gh #bjbd to c>ry out up to #aj ,p]=mance ,p>tn]%ip ,pilots4 ,su* ,pilots %all-- 7i7 be design$ to improve outcomes = infants1 *ildr51 & y\?1 & _! families z appropriate1 :o h exp]i5c$ or are at risk ( exp]i5c+ trauma2 & 7ii7 involve ,f$]al programs t>get$ on infants1 *ildr51 & y\?1 & _! families z appropriate1 :o h exp]i5c$ or are at risk ( exp]i5c+ trauma4 7,b7 ,priority ,9 mak+ funds available "u ?is p>agraph1 a ,f$]al ag5cy %all give priority to entities t receive grants "u section #ebj;,b ( ! ,public ,heal? ,s]vice ,act4 2 7#c7 9 subsection 7c77#b7-- 7,a7 9 subp>agraph 7,a71 by /rik+ #bjah & ins]t+ #bjbc2 & 7,b7 9 subp>agraph 7,f71 by ins]t+ be=e ! semicolon 1 includ+ ! age range = su* population2 & 7#d7 9 subsection 7e71 by /rik+ #bjah & ins]t+ #bjbc4 #ajc4 ,national & community s]vice 7a7 ,s]vice-,le>n+ ,section #aac7;a77#b7 ( ! ,national & ,community ,s]vice ,act ( #aiij 7#db ,u4,s4,c4 #abebe7;a77#b77 is am5d$-- 7#a7 9 subp>agraph 7,c71 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,d71 by /rik+ ! p]iod & ins]t+ 1 &2 & 7#c7 by add+ at ! end ! foll[+3 7,e7 in=mation describ+ h[ ! applicant w give priority1 9 review+ applications "u subsection 7b71 to entities t propose s]vice-le>n+ programs 9 communities ) high levels ( trauma 7z def9$ 9 section #ebj;,b ( ! ,public ,heal? ,s]vice ,act74 4 7b7 ,am]icorps recruitm5t ,section #acj7;b77#e7 ( ! ,national & ,community ,s]vice ,act ( #aiij 7#db ,u4,s4,c4 #abehb7;b77#e77 is am5d$ by ins]t+ aft] & wom51 ! foll[+3 & to give priority 7to ! maximum ext5t practicable7 to recruitm5t ( p>ticipants f communities ) high levels ( trauma 7z def9$ 9 section #ebj;,b ( ! ,public ,heal? ,s]vice ,act714 7c7 ,am]icorps ,/ate programs ,section #acj7;c7 ( ! ,national & ,community ,s]vice ,act ( #aiij 7#db ,u4,s4,c4 #abehb7;c77 is am5d$ by add+ at ! end ! foll[+3 7#d7 ,9 ! case ( a ,/ate or t]ritory describ$ 9 section #abi7;e71 an assurance t ! ,/ate or t]ritory1 9 di/ribut+ grant funds made available "u t section1 w give priority to entities propos+ national s]vice programs t are relat$ to ! provision ( trauma-in=m$ s]vices 9 communities ) high levels ( trauma 7z def9$ 9 section #ebj;,b ( ! ,public ,heal? ,s]vice ,act74 4 7d7 ,am]icorps competitive programs ,section #acc7;d77#b7 ( ! ,national & ,community ,s]vice ,act ( #aiij 7#db ,u4,s4,c4 #abehe7;d77#b77 is am5d$-- 7#a7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,c71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,d7 national s]vice programs t are relat$ to ! provision ( trauma-in=m$ s]vices 9 communities ) high levels ( trauma 7z def9$ 9 section #ebj;,b ( ! ,public ,heal? ,s]vice ,act74 4 #ajd4 ,hospital-bas$ int]v5tions to r$uce readmissions ,section #iaa ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bii;b7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,hospital-,bas$ int]v5tions ,to r$uce readmissions 7#a7 ,grants ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,ag5cy1 %all aw>d grants to eligible entities to evaluate hospital-bas$ int]v5tions to r$uce subsequ5t readmissions ( pati5ts t pres5t at a hospital aft] ov]dos+1 attempt+ suicide1 or suff]+ viol5t injury or abuse4 7#b7 ,eligible entities ,to be eligible to receive a grant "u ?is subsection & entity %all-- 7,a7 be a hospital or heal? sy/em 7includ+ heal? sy/ems op]at$ by ,indian tribes or tribal organizations z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation ,act & ,education ,assi/ance ,act72 & 7,b7 submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 :i* %all include demon/rat$ exp]i5ce furni%+ successful hospital-bas$ trauma int]v5tions to improve outcomes = pati5ts pres5t+ aft] ov]dos+1 attempt+ suicide1 or suff]+ viol5t injury or abuse4 7#c7 ,use ( funds ,an entity %all use am\nts receiv$ "u a grant "u ?is subsection to te/ & evaluate hospital-bas$ trauma-in=m$ int]v5tions = pati5ts :o pres5t at hospitals ) drug ov]doses1 suicide attempts1 & viol5t injuries 7su* z dome/ic viol5ce or int5tional p5etrat+ w\nds1 includ+ gun%ots & /abb+s7 to provide compreh5sive education1 scre5+1 c\nsel+1 dis*>ge plann+1 skills build+1 & long-t]m case managem5t s]vices to prev5t hospital readmission1 injury1 & improve heal? & safety outcomes4 ,su* int]v5tions may be furni%$ 9 coord9ation or p>tn]%ip ) qualifi$ community-bas$ organizations & may include or incorporate ! be/ practices develop$ "u section #gacb7;d7 ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga74 7#d7 ,quality measures ,an entity t receive a grant "u ?is section %all submit to ! ,secret>y a report on ! data & outcomes develop$ "u ! grant1 includ+ any quality measures develop$ to prev5t hospital readmissions = ! pati5ts s]v$ "u ! program involv$4 4 #aje4 ,support+ at-risk & trauma-expos$ /ud5ts ) arts opportunities ,section #e7;c7 ( ! ,national ,f\ndation on ! ,arts & ,humanities ,act ( #aife 7#bj ,u4,s4,c4 #ied7;c77 is am5d$-- 7#a7 9 p>agraph 7#i71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#aj71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by ins]t+ aft] p>agraph 7#aj71 ! foll[+3 7#aa7 projects1 programs1 & work%ops t provide !rapy & creative expression opportunities ?r\gh ! arts = *ildr51 & _! families z appropriate1 :o h exp]i5c$ or are at risk ( exp]i5c+ trauma4 4 #ajf4 ,ensur+ p>ity = infant1 e>ly *ildhood1 & y\? m5tal heal? ,"p ,k ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bijll et seq47 is am5d$-- 7#a7 by r$esignat+ section #eej 7#db ,u4,s4,c4 #bij;ee-#aj71 relat+ to sobriety treatm5t & recov]y teams1 z section #eih2 & 7#b7 by add+ at ! end ! foll[+3 #eii4 ,infant & e>ly *ildhood m5tal heal? p>ity 7a7 ,9 g5]al ,! ,secret>y1 9 coord9ation ) ! ,secret>y ( ,labor & ! ,secret>y ( ,education1 %all aw>d grants to1 or ent] into coop]ative agreem5ts )1 ,/ates to ensure t heal? insurance issu]s 9 ! ,/ate comply ) section #bgbf1 z su* section applies to infant & e>ly *ildhood m5tal & behavioral heal?4 7b7 ,use ( grant ,a ,/ate %all use am\nts receiv$ "u a grant or coop]ative agreem5t "u ?is section to-- 7#a7 e/abli% cle> guidel9es = p>ity compliance = infant & e>ly *ildhood m5tal heal? t are evid5ce-bas$2 7#b7 align p>ity compliance ) be/ practices = meet+ an infant's ,individualiz$ ,family ,s]vice ,plan "u "p ,c ( ! ,individuals ) ,disabilities ,education ,act or a pres*ool ag$ *ild's ,individualiz$ ,education ,plan "u "p ,b ( su* ,act1 z well z provid+ ,coord9at$ ,e>ly ,int]v5+ ,s]vices "u "p ,b ( su* ,act to pres*ool age *ildr52 7#c7 engage ) heal? insurance issu]s to ensure t !y comply ) ! guidel9es promulgat$ & o!r provisions ( section #bgbf1 z su* section applies to infant & e>ly *ildhood m5tal heal?2 7#d7 ensure heal? insurance issu] compliance ?r\gh audits1 m>ket conduct exam9ations1 secret %opp] programs1 or o!r means2 7#e7 %>e le>n+s ) o!r ,/ates :o receive grants "u ?is section2 & 7#f7 submit a report to ! ,secret>y1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ,education1 on f9d+s1 actions1 recomm5dations1 & any su* o!r in=mation z su* ,secret>ies %all require4 7c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #aj1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4 4 #ajg4 ,/reaml9+ & coord9at+ trauma grant fund+ ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,director ( ! ,(fice ( ,managem5t & ,budget1 9 coord9ation ) ! ,task ,=ce creat$ "u section #gacb ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga71 %all review ! ,f$]al grant programs & fund+ /reams ) relevance or pot5tial to furni% ! be/ practices develop$ "u section #gacb7;d7 ( su* ,act = prev5t+ & mitigat+ ! impact ( trauma1 & issue guidance to ag5cies on ! foll[+3 7#a7 ,align+ measurem5t1 report+1 & timel9es = ,f$]al funds us$ to address community trauma4 7#b7 ,lev]ag+ diff]5t ,f$]al fund+ /reams to enable effective data %>+1 integration1 & privacy to support coord9ation = address+ community trauma4 7#c7 ,consi/5cy 9 eligibility requirem5ts & enrollm5t pa?ways = ,f$]al fund+ to facilitate /rategies = address+ community trauma4 7#d7 ,support = community-level plann+ activities t advance ! ov]all policy goals ( ea* ,f$]al fund+ /ream4 7#e7 ,model+ ! long-t]m budget>y b5efits ( prev5t+ or mitigat+ community trauma4 7#f7 ,! inclusion ( trauma impact /atem5ts )9 relevant grants focus$ on s]v+ *ildr5 & families4 #ajh4 ,measur+ sav+s f trauma-in=m$ int]v5tions 7a7 ,id5tification ( effective int]v5tions ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,plann+ & ,evaluation1 & 9 coord9ation ) ! ,attorney ,g5]al1 ! ,secret>y ( ,education1 & ! ,secret>y ( ,labor1 %all conduct a review & analysis ( ! be/ practices develop$ "u section #gacb7;d7 ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga7 7ref]r$ to 9 ?is section z ! develop$ be/ practices7 t c be furni%$ ?r\gh a ,f$]al grant or heal? insurance program to prev5t & mitigate ! impact ( trauma among infants1 *ildr51 & y\?1 & _! families1 z appropriate1 & id5tify ^? practices :i* hold ! mo/ promise to r$uce long-t]m co/s & sp5d+ associat$ ) *ildr51 includ+ heal? c>e & *ild welf>e co/s4 7b7 ,conduct ( review ,9 conduct+ ! review & analysis "u subsection 7a71 ! ,assi/ant ,secret>y may-- 7#a7 solicit public input on ! review design1 f9d+s1 & conclusions2 & 7#b7 exam9e me?ods = evaluat+ :e!r ! develop$ be/ practices 7 effectively implem5t$ & ! pr$ict$ outcomes & sav+s are likely to be a*iev$1 :i* may include compet5cy & te/+ approa*es1 & p]=mance or outcome measures4 7c7 ,updates ,! set ( be/ practices id5tifi$ "u subsection 7a7 z hold+ promise to r$uce co/s %all be updat$ at regul> int]vals4 7d7 ,evaluat+ ,long-,t]m ,sav+s ,associat$ ) ! ,int]v5tions ,! ,director ( ! ,(fice ( ,managem5t & ,budget %all analyze1 det]m9e1 & publicly report ! co/-sav+s across ! ,f$]al budget ov] #bj ye>s1 includ+ an appropriate disc\nt rate1 associat$ ) ! effective implem5tation ( ! int]v5tions id5tifi$ 9 subsection 7a71 :5 appli$ 9 a repres5tative population ( *ildr5 p>ticipat+ 9 all su* appropriate ,f$]al grant or heal? insurance programs 9 a giv5 ye>1 & update ^! det]m9ations at lea/ e #e ye>s4 ,,ii ,work=ce developm5t #bja4 ,div]sity tra9+ = individuals f communities t h exp]i5c$ high levels ( trauma1 viol5ce1 or addiction ,"p ,b ( title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bic et seq47 is am5d$ by add+ at ! end ! foll[+3 #gdb4 ,individuals f communities t h exp]i5c$ high levels ( trauma1 viol5ce1 or addiction ,9 c>ry+ out activities "u ?is "p1 ! ,secret>y %all ensure t emphasis is provid$ on ! recruitm5t ( individuals f communities t h exp]i5c$ high levels ( trauma1 viol5ce1 or addiction & t appropriate activities "u ?is "p are c>ri$ out 9 p>tn]%ip ) community-bas$ organizations t h exp]tise 9 address+ su* *all5ges to enhance s]vice deliv]y4 4 #bjb4 ,fund+ = ! ,national ,heal? ,s]vice ,corps ,section #ajejc7;b77#b7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#b77 is am5d$-- 7#a7 9 subp>agraph 7,e71 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,f71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,g7 #cfj1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4 4 #bjc4 ,infant & e>ly *ildhood cl9ical work=ce ,"p ,p ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g7 is am5d$ by add+ at ! end ! foll[+3 #cii,v-#g4 ,infant & e>ly *ildhood cl9ical work=ce 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,associate ,adm9i/rator ( ! ,mat]nal & ,*ild ,heal? ,bureau1 %all e/abli% an ,infant & ,e>ly ,*ildhood ,cl9ical ,m5tal ,heal? ,lead]%ip ,program to aw>d grants to eligible entities to e/abli% tra9+ in/itutes & c5t]s ( excell5ce = infant & e>ly *ildhood cl9ical m5tal heal?4 7b7 ,eligible entities ,to be eligible to receive a grant "u ?is section1 an entity %all-- 7#a7 be-- 7,a7 an in/itution ( high] education z def9$ 9 section #aja7;a7 ( ! ,high] ,education ,act ( #aife2 or 7,b7 be a hospital ) affiliation ) su* an in/itution ( high] education1 or a ,/ate pr(essional m$ical society or association ( infant m5tal heal? demon/rat+ an affiliation or p>tn]%ip ) su* an in/itution ( high] education2 & 7#b7 submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7c7 ,use ( grant ,an entity %all use am\nts receiv$ "u a grant "u ?is section to e/abli% /atewide tra9+ in/itutes or c5t]s ( excell5ce = lic5s$ cl9ical social work]s1 lic5s$ pr(essional c\nselors1 lic5s$ m>riage & family !rapi/s1 cl9ical psy*ologi/s1 *ild psy*iatri/s1 s*ool psy*ologi/s1 nurses1 & developm5tal & behavioral p$iatricians on infant & e>ly *ildhood cl9ical m5tal heal?1 ) an emphasis on scre5+1 assessm5t1 s]vice provision or ref]ral1 prev5tion1 & treatm5t = infants & *ildr5 :o h exp]i5c$ or are at risk ( exp]i5c+ trauma1 z well z prev5tion ( second>y trauma1 ?r\gh-- 7#a7 ! provision ( community-bas$ tra9+ & sup]vision 9 evid5ce-bas$ assessm5t1 diagnosis1 & treatm5t1 :i* may be conduct$ ?r\gh p>tn]%ip ) qualifi$ community-bas$ organizations2 7#b7 ! developm5t ( graduate education tra9+ tracks2 7#c7 ! provision ( s*ol>%ips & /ip5ds1 includ+ to enhance recruitm5t f "u-repres5t$ populations 9 ! m5tal heal? work=ce2 & 7#d7 ! provision ( mid-c>e] tra9+ to develop ! capacity ( exi/+ heal? practition]s4 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #be1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4 4 #bjd4 ,trauma-in=m$ tea*+ & s*ool lead]%ip 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*]s1 includ+ e>ly *ildhood educators1 to support positive le>n+ outcomes & social & emotional developm5t = /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+ & aft] ! semicolon2 7,b7 by r$esignat+ subclause 7,,iii7 z subclause 7,,iv72 & 7,c7 by ins]t+ aft] subclause 7,,ii7 ! foll[+3 7,,iii7 su* tea*]s1 includ+ e>ly *ildhood educators1 to adopt evid5ce-bas$ 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 prev5t+ second>y trauma1 compassion fatigue1 & burn\t1 & = alt]natives to susp5sions1 expulsions1 corporal puni%m5t1 ref]rals to law en=cem5t1 & o!r actions t remove /ud5ts f ! le>n+ environm5t2 & 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 new1 e>ly *ildhood1 elem5t>y s*ool1 & 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 engagem5t & promote ! social & emotional developm5t ( /ud5ts2 & 7iii7 implem5t alt]native practices to susp5sion & expulsion t d n remove /ud5ts f ! le>n+ environm5t2 & 7,b7 includ+ programs tra9+ tea*]s1 includ+ e>ly *ildhood educators1 to "w ) /ud5ts ) exposure to traumatic ev5ts 7includ+ /ud5ts involv$ 9 ! fo/] c>e or juv5ile ju/ice sy/ems or runaway & homeless y\?7 & 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$-- 7#a7 9 subp>agraph 7,a71 by /rik+ & aft] ! semicolon2 7#b7 9 subp>agraph 7,b71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,c7 to eligible p>tn]%ips t h a high-quality proposal = trauma tra9+ programs = g5]al education & special education tea*]s1 includ+ e>ly *ildhood educators4 4 7c7 ,grants = ! developm5t ( lead]%ip programs ,section #bjb7;f77#a77;,b7 ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajbb;a7f77#a77;,b77 is am5d$-- 7#a7 9 clause 7v71 by /rik+ & at ! end2 7#b7 9 clause 7vi71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7vii7 id5tify /ud5ts :o h exp]i5c$ trauma & connect ^? /ud5ts ) appropriate s*ool-bas$ or community-bas$ int]v5tions & s]vices4 4 #bje4 ,tools = front-l9e provid]s ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 coord9ation ) appropriate /akehold]s ) subject matt] exp]tise :i* may include ! ,national ,*ild ,traumatic ,/ress ,network1 %all c>ry out activities to develop accessible & easily und]/&able toolkits = use by front-l9e s]vice provid]s 7includ+ tea*]s1 e>ly *ildhood educators1 s*ool lead]s1 m5tors1 social work]s1 c\nselors1 fai? lead]s1 fir/ respond]s1 k9%ip c>egiv]s7 = appropriately id5tify+1 respond+ to1 & support+ infants1 *ildr51 & y\?1 & _! families1 z appropriate1 :o h exp]i5c$ or are at risk ( exp]i5c+ trauma4 ,front-l9e s]vice provid]s may also include programs focus$ on adults ^: *ildr5 or :o !mselves h exp]i5c$ trauma1 includ+ programs relat$ to ,heal?y ,m>riage & ,responsible ,fa!rhood1 *ild support1 & ,tempor>y ,assi/ance to ,ne$y ,families4 ,su* toolkits %all incorporate be/ practices develop$ "u section #gacb7;d7 ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga71 & include actions to build a safe1 /able1 & nurtur+ environm5t = ! infants1 *ildr51 & y\? s]v$ 9 ^? sett+s1 capacity build+1 & /rategies = address+ ! impact ( second>y trauma1 compassion fatigue1 & burn\t among su* front-l9e s]vice provid]s4 #bjf4 ,*ildr5 ,expos$ to ,viol5ce ,initiative ,title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajaja7 is am5d$ by add+ at ! end ! foll[+3 ,,oo ,*ildr5 expos$ to viol5ce & addiction initiative #cjea4 ,grants to id5tify & support *ildr5 expos$ to viol5ce & sub/ance use 7a7 ,9 g5]al ,! ,attorney ,g5]al may make grants to ,/ates1 units ( local gov]nm5t1 ,indian tribes & tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation ,act & ,education ,assi/ance ,act71 & nonpr(it organizations to r$uce viol5ce & sub/ance use by prev5t+ exposure to trauma1 viol5ce1 or sub/ance use & id5tify+ & support+ infants1 *ildr51 & y\?1 & _! families1 z appropriate1 expos$ to trauma1 viol5ce1 or sub/ance use4 7b7 ,use ( funds ,a grant "u subsection 7a7 may be us$ to implem5t trauma-in=m$ policies & practices t support infants1 *ildr51 y\?1 & _! families1 z appropriate1 by-- 7#a7 build+ public aw>5ess & education1 & improv+ policies & practices2 7#b7 provid+ tra9+1 tools & res\rces to develop ! skills & capacity ( p>5ts 7includ+ fo/] p>5ts71 adult gu>dians1 & pr(essionals :o int]act directly ) infants1 *ildr51 & y\?1 & _! families1 z appropriate1 9 an organiz$ or pr(essional sett+1 includ+ ?r\gh ! be/ practices develop$ "u section #gacb7;d7 ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga72 & 7#c7 provid+ te*nical assi/ance to communities1 organizations1 & public ag5cies on h[ to prev5t & mitigate ! impact ( exposure to trauma1 viol5ce1 & sub/ance use4 7c7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #aa1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4 4 #bjg4 ,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 adult- & juv5ile-s]v+ ,/ate1 local1 & tribal law en=cem5t ag5cies 7includ+ ^? op]at$ by ,indian tribes & tribal organizations z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation ,act & ,education ,assi/ance ,act7 9 int]act+ ) infants1 *ildr51 & y\? :o h be5 expos$ to viol5ce or o!r trauma1 & _! families z appropriate4 7#b7 ,age range ,! ,c5t] %all det]m9e ! age range ( infants1 *ildr51 & y\? to be cov]$ by ! activities ( ! ,c5t]4 7b7 ,duties ,! ,c5t] %all provide assi/ance to adult- & juv5ile-s]v+ ,/ate1 local1 & tribal law en=cem5t ag5cies by-- 7#a7 dissem9at+ in=mation on ! be/ practices = law en=cem5t (fic]s1 :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 ,affairs or ! be/ practices develop$ "u section #gacb7;d7 ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga71 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 in=mation ga!r+1 =5sic int]view+1 de-escalation1 & crisis int]v5tion tra9+2 7ii7 e>ly int]v5tions t l9k *ild & y\? witnesses & victims1 & _! families z appropriate1 to age-appropriate trauma-in=m$ s]vices2 & 7iii7 prev5t+ & 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 multi-discipl9>y consortia to-- 7,a7 enhance ! aw>5ess ( be/ practices = trauma-in=m$ responses to infants1 *ildr51 & 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/ practices1 includ+ h[ to id5tify & appropriately respond to e>ly signs ( trauma & viol5ce exposure :5 int]act+ ) infants1 *ildr51 & y\?1 & _! families1 z appropriate2 & 7,b7 e/abli%1 op]ate1 & evaluate a ref]ral & p>tn]%ip program ) trauma-in=m$ cl9ical m5tal heal?1 sub/ance use1 heal? c>e1 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 #f1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd to aw>d grants "u subsection 7c72 & 7#b7 #b1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd = o!r activities ( ! ,c5t]4 #bjh4 ,national ,in/itutes ( ,heal? report on trauma ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,director ( ! ,national ,in/itutes ( ,heal? %all submit to ,congress a report on ! activities ( ! ,national ,in/itutes ( ,heal? ) respect to trauma 7includ+ trauma t /ems f *ild abuse1 exposure to viol5ce1 addiction & sub/ance use1 & toxic /ress7 & ! implications ( trauma = infants1 *ildr51 & y\?1 & _! families1 z appropriate4 ,su* report %all include-- 7#a7 ! compreh5sive rese>* ag5da ( ! ,national ,in/itutes ( ,heal? ) respect to trauma2 7#b7 ! capacity1 exp]tise1 & review me*anisms ( ! ,national ,in/itutes ( ,heal? ) respect to ! evaluation & exam9ation ( rese>* proposals relat$ to *ild trauma1 includ+ coord9ation across in/itutes & c5t]s & inclusion ( trauma impact /atem5ts )9 relevant grants focus$ on s]v+ *ildr5 & families2 7#c7 ! relevance ( trauma to o!r diseases1 outcomes1 & doma9s2 7#d7 /rategies to l9k & analyze data f multiple indep5d5t s\rces1 includ+ *ild welf>e1 heal? c>e 7includ+ m5tal heal? c>e71 law en=cem5t1 & education sy/ems1 to enhance rese>* ef=ts & improve heal? outcomes2 7#e7 ! efficacy ( exi/+ int]v5tions1 includ+ cl9ical treatm5t me?ods1 *ild- & family-focus$ prev5tion models1 & community-bas$ approa*es1 9 mitigat+ ! effects ( exp]i5c+ trauma & improv+ heal? & societal outcomes2 & 7#f7 id5tification ( gaps 9 und]/&+ 9 ! field ( trauma & areas ( greate/ ne$ = fur!r rese>* relat$ to trauma4