,,ii  #aafth ,,congress  #b;d ,session  
,s4 #dihj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,december #h1  
#bjbj,mr4 ,king introduced the following
 bill2 which was read twice and referred
 to the ,committee on ,health1          
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to amend the ,public ,health   
,service ,act to direct the ,secretary  
of ,health and ,human ,services1 acting 
through the ,director of the ,centers   
for ,disease ,control and ,prevention1  
to support research and programmatic    
efforts that will build on previous     
research on the effects of adverse      
childhood experiences4  #a4 ,short      
title2 findings  7a7 ,short title ,this 
,act may be cited as the ,improving     
,data ,collection for ,adverse          
,childhood ,experiences ,act4  7b7      
,findings ,congress finds the following3
 7#a7 ,certain negative events1         
circumstances1 or maltreatment to which 
children may be exposed1 known as       
adverse childhood experiences1 are      

associated with negative health         
outcomes4  7#b7 ,childhood              
psychological1 physical1 or sexual      
abuse2 household challenges such as     
violence1 substance use1 mental illness1
 separation or divorce1 or incarceration
 of a family member2 and emotional or   
physical neglect have been shown to     
negatively impact a person's long-term  
health and well-being4  7#c7 ,adverse   
childhood experiences and associated    
conditions such as living in            
under-resourced or racially segregated  
neighborhoods1 frequently moving1       
experiencing food insecurity1 and other 
instability can cause toxic stress1 a   
prolonged activation of the             
stress-response system4  7#d7           
,experiencing one or more adverse       
childhood experiences is associated with
 higher risks of some of the leading    
causes of death and disability in the   
,united ,states4  7#e7 ,more than half  
of all people in the ,united ,states    
have experienced one or more adverse    

childhood experiences4  7#f7 ,the       
,centers for ,disease ,control and      
,prevention has recognized adverse      
childhood experiences as a major public 
health concern and made it a priority   
area for focus in the ,national ,center 
for ,injury ,prevention and ,control of 
the ,centers for ,disease ,control and  
,prevention4  7#g7 ,further research is 
needed to better define adverse         
childhood experiences1 understand the   
causal pathway between adverse childhood
 experiences and physical health        
outcomes1 and identify protective       
factors against adverse childhood       
experiences and their effects1 in order 
to inform and improve current programs  
and future efforts to promote public    
health4  7#h7 ,evidence-based prevention
 and mitigation strategies to address   
adverse childhood experiences have been 
identified1 but efforts are needed to   
facilitate implementation in            
communities4  #b4 ,supporting research  
on adverse childhood experiences ,part  

,j of title ,,iii of the ,public ,health
 ,service ,act 7#db ,u4,s4,c4 #bhj;b et 
seq47 is amended by inserting after     
section #cic;,d 7#db ,u4,s4,c4          
#bhj;b-#a;f7 the following3  #cic;,e4   
,supporting research on preventing or   
remediating adverse childhood           
experiences  7a7 ,in general ,the       
,secretary1 acting through the ,director
 of the ,centers for ,disease ,control  
and ,prevention1 may1 in cooperation    
with the ,states1 collect and report    
data on adverse childhood experiences   
through the ,behavioral ,risk ,factor   
,surveillance ,system1 the ,youth ,risk 
,behavior ,surveillance ,system1 or     
other relevant public health surveys or 
questionnaires to contribute to a       
longitudinal study that-- 7#a7 builds on
 previous literature1 including the     
seminal ,,cdc-,kaiser ,permanente       
,adverse ,childhood ,experiences 7,,ace7
 ,study1 on the biology and neuroscience
 of childhood adversity that establishes
 the links between adverse childhood    

experiences and negative outcomes2 and  
7#b7 focuses on elements not included in
 the study referred to in paragraph     
7#a71 including-- 7,a7 the inclusion of 
a diverse nationally representative     
sample of participants2  7,b7 the       
strength of the relationship between    
individual1 specific adverse childhood  
experiences and negative health         
outcomes2  7,c7 the intensity and       
frequency of adverse childhood          
experiences2  7,d7 the relative strength
 of particular risk and protective      
factors2 and  7,e7 the effect of social1
 economic1 and community conditions on  
health and well-being4  7b7 ,technical  
assistance ,the ,secretary may1 directly
 or through awards of grants or         
contracts to public or nonprofit private
 entities1 provide technical assistance 
with respect to the collection and      
reporting of data as described in       
subsection 7a74  7c7 ,authorization of  
appropriations ,there are authorized to 
be appropriated to carry out this       

section #aj1jjj1jjj for each of fiscal  
years #bjba through #bjbf4  4