,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bgba  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #bh1 #bjai,mr4 
,durb9 introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to r$uce viol5ce & heal?    
disp>ities by address+ social det]m9ants
 ( heal?1 enhanc+ heal? c>e recruitm5t1 
& improv+ ! deliv]y ( quality1 coord9at$
 c>e s]vices1 & = o!r purposes4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,heal+ ,communities ?r\gh ,heal? ,c>e   
,act4  #b4 ,m$icaid h\s+ & hospital     
demon/ration project  7a7 ,au?ority ,n  
lat] ?an #a ye> aft] ! date ( enactm5t (
 ?is ,act1 ! ,secret>y %all select      
,/ates to conduct demon/ration projects 
"u title ,,xix ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif et seq47 to   
te/ innovative p>tn]%ip programs betwe5 
h\s+ ag5cies & programs1 hospitals &    
heal? sy/ems1 & community-bas$          
organizations1 to e/abli% scre5+1       
ref]ral1 & supportive h\s+ programs =   

individuals ) behavioral heal? ne$s :o  
are exp]i5c+ h\s+ insecurity1 t acc\nt =
 disproportionately high rates ( em]g5cy
 room visits & associat$ ,m$icaid sp5d+4
  7b7 ,requirem5ts  7#a7 ,numb] (       
projects ,! ,secret>y %all select n less
 ?an #f ,/ates to conduct demon/ration  
projects "u ?is section4  7#b7          
,eligibility ,9 ord] to be eligible to  
conduct a demon/ration project "u ?is   
section1 a ,/ate %all demon/rate !      
foll[+3  7,a7 ,! ,/ate has or w e/abli% 
suffici5t processes = furni%+ supportive
 h\s+ s]vices "u ! ,/ate ,m$icaid       
program1 work+ ) manag$ c>e             
organizations z applicable 9 ! ,/ate1 = 
,m$icaid-eligible individuals describ$ 9
 subsection 7a74  7,b7 ,! ,/ate ,m$icaid
 program has proc$ures 9 place to       
coord9ate c>e & s]vices =               
,m$icaid-eligible individuals describ$ 9
 subsection 7a71 includ+ ^? ) behavioral
 heal? ne$s1 across sett+s1 z           
appropriate1 :i* may include ) law      
en=cem5t1 hospitals & heal? sy/ems1 h\s+

 au?orities or ag5cies1 m5tal heal? &   
sub/ance use treatm5t facilities1 &     
community-bas$ organizations4  7#c7     
,priority ,9 select+ ,/ates "u ?is      
section1 ! ,secret>y %all give priority 
to ,/ates ) l>ge urban populations 9 :i*
 !re are exi/+ programs t deliv] h\s+1  
case managem5t & s]vice coord9ation1 &  
e/abli%m5t ( scre5+ & ref]ral processes 
9 heal? c>e sett+s1 includ+ programs t  
utilize public hospitals & flexible h\s+
 pools to s]ve individuals :o are       
exp]i5c+ h\s+ insecurity or h behavioral
 heal? ne$s4  7#d7 ,duration ,ea*       
demon/ration project "u ?is section %all
 be conduct$ = a p]iod ( n less ?an #d  
ye>s4  7c7 ,paym5t = s]vices furni%$ "u 
demon/ration project  7#a7 ,9 g5]al     
,subject to p>agraph 7#b71 am\nts exp5d$
 by a ,/ate "u a demon/ration project "u
 ?is section on supportive h\s+ s]vices 
= ,m$icaid-eligible individuals describ$
 9 subsection 7a7 %all be treat$ z      
m$ical assi/ance = purposes ( section   
#aijc7;a7 ( ! ,social ,security ,act    

7#db ,u4,s4,c4 #acif;b7a774  7#b7       
,limitation on ,f$]al fund+  7,a7 ,9    
g5]al ,! total am\nt c]tifi$ by !       
,secret>y "u title ,,xix ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 = paym5t to a ,/ate ) respect to  
exp5ditures describ$ 9 p>agraph 7#a7    
%all n exce$ ! am\nt allocat$ to ! ,/ate
 by ! ,secret>y "u subp>agraph 7,b74    
7,b7 ,allocation  7i7 ,9 g5]al ,!       
,secret>y %all allocate to ea* ,/ate    
select$ to conduct a demon/ration       
project "u ?is section an am\nt det]m9$ 
appropriate by ! ,secret>y = purposes ( 
reimburs+ ! ,/ate = s]vices furni%$ "u !
 demon/ration project 9 accordance )    
p>agraph 7#a74  7ii7 ,limitation ,!     
total am\nt allocat$ to ,/ates "u ?is   
subp>agraph %all n exce$ #ge1jjj1jjj4   
7d7 ,waiv] au?ority ,! ,secret>y may    
waive ! foll[+ requirem5ts z may be     
necess>y to conduct demon/ration        
projects 9 accordance ) ! requirem5ts ( 
?is section3  7#a7 ,! requirem5ts (     
section #aijb7;a77#a7 ( ! ,social       

,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#a77 7relat+ to /atewid5ess74
  7#b7 ,! requirem5ts ( section         
#aijb7;a77#aj77;,b7 ( su* ,act 7#db     
,u4,s4,c4 #acif;a7a77#aj77;,b77 7relat+ 
to comp>ability74  7#c7 ,! requirem5ts (
 section #aijb7;a77#aj77;,c77i77,,iii7 (
 su* 7#db ,u4,s4,c4                     
#acif;a7a77#aj77;,c77i77,,iii77 7relat+ 
to income & res\rce rules applicable 9 !
 community74  7e7 ,def9itions ,9 ?is    
section3 7#a7 ,m$icaid ,! t]m ,m$icaid  
means ! m$ical assi/ance program        
e/abli%$ "u title ,,xix ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 & includes any waiv]s ( su*       
program4  7#b7 ,secret>y ,! t]m         
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  7#c7 ,/ate ,! t]m     
,/ate has ! mean+ giv5 t t]m = purposes 
( title ,,xix ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acif et seq474  7#d7   
,supportive h\s+ s]vices ,! t]m         
supportive h\s+ s]vices means-- 7,a7    
f9ancial assi/ance ) r5tal paym5ts1 room

 & bo>d1 or o!r h\s+ co/s1 z            
appropriate2  7,b7 case managem5t &     
s]vice coord9ation s]vices2 &  7,c7 h\s+
 support scre5+ & ref]ral s]vices       
provid$ 9 a heal?c>e sett+4  #c4        
,e/abli%+ ,,nih cl9ical trials rese>*   
network on viol5ce recov]y ,"p ,b (     
title ,,iv ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bhd et seq47 is    
am5d$ by add+ at ! end ! foll[+3        
#dji,k4 ,cl9ical trials rese>* network  
on viol5ce recov]y  7a7 ,network ,!     
,director ( ,,nih %all develop & support
 a regional cl9ical rese>* c5t] network1
 by aw>d+ fund+ to p>ticipants 9        
accordance ) subsection 7b7 ?r\gh       
grants1 contracts1 or o!r me*anisms1 to 
/udy & evaluate hospital- &             
community-bas$ int]v5tions = victims (  
viol5t or p5etrat+ injuries to prev5t1  
mitigate1 & furni% treatm5ts to address 
! trauma & m5tal heal? impacts ( ^?     
injuries on su* victims & prev5t        
re-injury4  7b7 ,p>ticipants  7#a7 ,9   
g5]al ,an entity seek+ fund+ "u ?is     

section %all-- 7,a7 be a univ]sity or   
hospital2 &  7,b7 submit an application 
to ! ,director ( ,,nih at su* "t1 9 su* 
mann]1 & conta9+ su* in=mation z !      
,director may require1 includ+ !        
in=mation describ$ 9 p>agraph 7#b74     
7#b7 ,demon/rat$ exp]tise ,an           
application submitt$ "u p>agraph        
7#a77;,b7 %all include in=mation        
demon/rat+ t ! applicant has            
multidiscipl9>y exp]tise 9--  7,a7      
furni%+ hospital- or community-bas$     
int]v5tions to improve outcomes =       
pati5ts suff]+ a viol5t or p5etrat+     
injury2  7,b7 quality improvem5t rese>*2
  7,c7 l9k+ cl9ical rese>* ) practice & 
community outcomes & activities2 &  7,d7
 provid+1 l9k+ to1 or o!rwise facilitat+
 community-bas$ c>e1 case managem5t1 &  
treatm5t4  7#c7 ,selection ,! ,director 
( ,,nih %all1 subject to available      
fund+1 select n less ?an #ae entities   
meet+ ! requirem5ts ( ?is subsection to 
receive fund+ "u ?is section 7provid$ t 
fifte5 or m entities meet+ su*          

requirem5ts apply = su* fund+74  7c7    
,activities & use ( funds ,an entity t  
receives fund+ "u ?is section %all use !
 funds to provide support = a           
trauma-in=m$ & viol5ce re-injury        
prev5tion rese>* c5t]1 includ+ fund+ =--
  7#a7 cl9ical1 behavioral1 or          
translational rese>* to te/ & evaluate  
trauma-in=m$ int]v5tions = trauma       
recov]y 9 an ef=t to prev5t & r$uce     
viol5ce-relat$ re-injury1 readmission1 &
 mortality2  7#b7 ! provision ( scre5+1 
deliv]y ( po/-injury m5tal heal?        
c\nsel+1 trauma-in=m$ c>e1 education1   
dis*>ge plann+1 skills build+1 &        
long-t]m case managem5t2 &  7#c7 tra9+  
rese>*]s1 cl9icians1 case work]s1 m5tal 
heal? pr(essionals1 community heal?     
work]s1 & o!r appropriate provid]s to   
provide appropriate int]v5tions describ$
 9 p>agraph 7#b74  7d7 ,outcomes        
measurem5ts ,any activity support$ "u   
?is section %all be furni%$ ) ! aim (   
prev5t+ & mitigat+ ! impact ( trauma &  
m5tal heal? consequ5ces associat$ ) a   

viol5t or p5etrative injury1 improve !  
ov]all heal? & well-be+ ( individuals ) 
a viol5t or p5etrative injury1 & prev5t 
re-injury1 readmission1 & mortality4    
7e7 ,coord9ation ( consortia activities 
,! ,director ( ,,nih %all1 z            
appropriate-- 7#a7 provide = !          
coord9ation ( activities 7includ+ !     
ex*ange ( in=mation & regul>            
communication7 among ! entities receiv+ 
fund+ "u ?is section2 &  7#b7 require   
ea* entity receiv+ fund+ "u ?is section 
to prep>e & submit to ! ,director       
p]iodic reports on ! activities ( !     
entity t are support$ by ?is section4  4
  #d4 ,heal? pr(essions opportunity     
grants  7a7 ,fund+ ,section             
#bjjh7;c77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acig;g7c77#a77 is am5d$
 by ins]t+ 1 & #agj1jjj1jjj = ea* (     
fiscal ye>s #bjba ?r\gh #bjbe aft]      
#bjai4  7b7 ,mak+ hospitals eligible    
,section #bjjh7;a77#d77;,a7 ( su* ,act  
7#db ,u4,s4,c4 #acig;g7a77#d77;,a77 is  
am5d$ by /rik+ or a community-bas$      

organization & ins]t+ 1 a community-bas$
 organization1 or a hospital 7z def9$ 9 
section #ahfa7;e774  7c7 ,aid &         
supportive s]vices ,section             
#bjjh7;a77#b77;,a77i7 ( su* ,act 7#db   
,u4,s4,c4 #acig;g7a77#b77;,a77i77 is    
am5d$-- 7#a7 by ins]t+ af=dable be=e    
*ild c>e2 &  7#b7 by ins]t+             
transportation1 basic skills & ,engli%  
language pr(ici5cy tra9+1 aft] case     
managem5t14  #e4 ,heal? pr(essions tra9+
 = div]sity programs  7a7 ,c5t]s (      
excell5ce ,section #gcf7;c7 ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bic7;c77 is am5d$ by add+ at ! end !   
foll[+3  7#d7 ,pref]5ce  7,a7 ,9 g5]al  
,9 mak+ grants "u subsection 7a71 !     
,secret>y %all give pref]5ce to         
designat$ heal? pr(essions s*ools1 or   
o!r public or nonpr(it heal? or         
educational entities1 meet+ !           
requirem5ts ( ?is section t propose to--
  7i7 c>ry out ! activities support$ by 
?is section 9 communities ) a high rate 
( community trauma2 or  7ii7 recruit    

p>ticipants = activities support$ by ?is
 section f communities ) a high rate (  
community trauma4  7,b7 ,community ) a  
high rate ( community trauma ,= purposes
 ( subp>agraph 7,a71 ! t]m community ) a
 high rate ( community trauma means a   
community ) a high rate ( int]g5]ational
 pov]ty1 civil unre/1 or discrim9ation1 
& may include--  7i7 a community ) an   
age-adju/$ rate ( drug ov]dose dea?s t  
is above ! national av]age = age-adju/$ 
rates ( drug ov]dose dea?s1 z det]m9$ by
 ! ,director ( ! ,c5t]s = ,disease      
,control & ,prev5tion2 &  7ii7 a        
community ) an age-adju/$ rate (        
viol5ce-relat$ 7or int5tional7 injury   
dea?s t is above ! national av]age =    
age-adju/$ rates ( viol5ce-relat$ 7or   
int5tional7 injury dea?s1 z det]m9$ by !
 ,director ( ! ,c5t]s = ,disease        
,control & ,prev5tion4  4  7b7          
,s*ol>%ips = disadvantag$ /ud5ts        
,section #gcg7;b7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bic;a7b77  
is am5d$-- 7#a7 9 ! subsection head+ by 

/rik+ 9 ,provid+ ,s*ol>%ips2  7#b7 by   
/rik+ ,! ,secret>y & ins]t+ ! foll[+3   
7#a7 ,pref]5ce 9 provid+ s*ol>%ips ,!   
,secret>y  2 &  7#c7 by add+ at ! end ! 
foll[+3  7#b7 ,pref]5ce to eligible     
entities propos+ to s]ve communities )  
high rates ( community trauma  7,a7 ,9  
g5]al ,9 mak+ grants "u ?is subsection  
7a71 ! ,secret>y %all give pref]5ce to  
eligible entities t propose to--  7i7   
c>ry out ! activities support$ by ?is   
section 9 communities ) a high rate (   
community trauma2 or  7ii7 aw>d         
s*ol>%ips "u ?is section to full-"t     
/ud5ts :o are eligible individuals f    
communities ) a high rate ( community   
trauma4  7,b7 ,community ) a high rate (
 community trauma ,= purposes (         
subp>agraph 7,a71 ! t]m community ) a   
high rate ( community trauma has ! mean+
 giv5 t t]m 9 section #gcf7;c77#d77;,b74
  4  7c7 ,heal? c>e]s opportunity       
program ,section #gci7;b7 ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bic;c7b77 is am5d$--  7#a7 by          

r$esignat+ p>agraphs 7#a7 ?r\gh 7#d7 z  
subp>agraphs 7,a7 ?r\gh 7,d71           
respectively1 & ind5t+ appropriately2   
7#b7 by /rik+ ,9 mak+ & ins]t+ ! foll[+3
  7#a7 ,9 g5]al ,9 mak+  2 &  7#c7 by   
add+ at ! end ! foll[+3  7#b7 ,pref]5ce 
to eligible entities propos+ to s]ve    
communities ) high rates ( community    
trauma  7,a7 ,9 g5]al ,9 mak+ aw>ds to  
eligible entities "u subsection 7a77#a71
 ! ,secret>y %all give pref]5ce to      
approv$ applications = programs propos+ 
to--  7i7 c>ry out ! activities support$
 by ?is section 9 communities ) a high  
rate ( community trauma2 or  7ii7       
recruit = activities support$ by ?is    
section individuals f disadvantag$      
backgr\nds1 z s det]m9$1 f communities )
 a high rate ( community trauma4  7,b7  
,community ) a high rate ( community    
trauma ,= purposes ( subp>agraph 7,a71 !
 t]m community ) a high rate ( community
 trauma has ! mean+ giv5 t t]m 9 section
 #gcf7;c77#d77;,b74  4  7d7 ,area heal? 
education c5t]s ,section #gea7;b7 ( !   

,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bid;a7b77 is am5d$ by add+ at
 ! end ! foll[+3  7#c7 ,pref]5ce to     
eligible entities propos+ to s]ve       
communities ) high rates ( community    
trauma  7,a7 ,9 g5]al ,9 aw>d+ grants "u
 subsection 7a77#a7 or 7a77#b71 !       
,secret>y %all give pref]5ce to eligible
 entities t propose to--  7i7 c>ry out !
 activities support$ by ?is section 9   
communities ) a high rate ( community   
trauma2 or  7ii7 recruit p>ticipants =  
activities support$ by ?is section f    
communities ) a high rate ( community   
trauma4  7,b7 ,community ) a high rate (
 community trauma ,= purposes (         
subp>agraph 7,a71 ! t]m community ) a   
high rate ( community trauma has ! mean+
 giv5 t t]m 9 section #gcf7;c77#d77;,b74
  4  #f4 ,designation ( heal?           
pr(essional %ortage areas2 fund+ = !    
,national ,heal? ,s]vice ,corps  7a7    
,designation ( heal? pr(essional %ortage
 areas ,section #ccb7;a77#b7 ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     

#bed;e7a77#b77 is am5d$--  7#a7 9       
subp>agraph 7,a71 by ins]t+ 7includ+ = !
 deliv]y ( c>e provid$ by a city or     
c\nty heal? dep>tm5t to inmates ( a     
c\nty or municipal jail7 aft] c\nty     
heal? dep>tm5t2 &  7#b7 9 subp>agraph   
7,b71 by /rik+ ,/ate correctional       
in/itution & ins]t+ ,/ate1 c\nty1 or    
municipal correctional in/itution44  7b7
 ,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,f71 by 
/rik+ 2 & & ins]t+ a semicolon2  7#b7 9 
subp>agraph 7,g71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 &2 &  7#c7 by add+ at !  
end ! foll[+3  7,g7 #cfj1jjj1jjj = !    
p]iod beg9n+ on ,novemb] #bb1 #bjai1 &  
end+ on ,septemb] #cj1 #bjbj1 & = ea* ( 
fiscal ye>s #bjba ?r\gh #bjbe4  4  #g4  
,incumb5t work] tra9+ ,section          
#acd7;d77#d77;,a7 ( ! ,work=ce          
,innovation & ,opportunity ,act ( #aiih 
7#bi ,u4,s4,c4 #cagd7;d77#d77;,a77 is   

am5d$--  7#a7 by r$esignat+ clauses 7ii7
 & 7iii7 z clauses 7iii7 & 7iv71        
respectively2  7#b7 by ins]t+ aft]      
clause 7i7 ! foll[+3  7ii7 ,great]      
res]vation ( funds ,! local bo>d may    
res]ve & use m ?an #bj p]c5t ( ! funds s
 allocat$1 to pay = ! ,f$]al %>e ( ! co/
 describ$ 9 clause 7i71 if ! ,secret>y  
det]m9es t ! local bo>d has demon/rat$  
t--  7,i7 !re is a ne$ & dem& 9 ! local 
area = additional incumb5t work] tra9+  
program positions 7beyond ! positions t 
c\ld be (f]$ ?r\gh ! res]vation describ$
 9 clause 7i771 includ+ specify+ ! numb]
 ( employ]s & work]s t c\ld be s]v$     
?r\gh ! additional program positions2   
7,,ii7 tra9+ ?r\gh an incumb5t work]    
tra9+ program t is 9 exi/5ce on ! day on
 :i* in=mation is submitt$ = !          
demon/ration 7ref]r$ to 9 ?is clause z  
an exi/+ incumb5t work] tra9+ program7  
has result$ 9 an incumb5t work] ( an    
employ] acquir+ new skills t all[ !     
work] to obta9 a position ) su* employ] 
requir+ high] skills or a high]-paid    

position ?an ! pre-tra9+ position ( !   
incumb5t work]1 & ! employ] int5ds to   
hire an additional work] to fill !      
pre-tra9+ position ( ! incumb5t work]2 &
  7,,iii7 ! effectiv5ess ( ! exi/+      
incumb5t work] tra9+ program ( ! employ]
 ref]r$ to 9 subclause 7,,ii71 z        
evaluat$ on local p]=mance measures bas$
 on ! prim>y indicators ( p]=mance      
specifi$ 9 section #aaf7;b77#b77;,a77i74
  2 &  7#c7 9 clause 7iii71 z r$esignat$
 by p>agraph 7#a7 ( ?is subsection1 by  
/rik+ clause 7i7 & ins]t+ clause 7i7 or 
7ii74