,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dihj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #h1 #bjbj,mr4 
,k+ introduc$ ! foll[+ bill2 :i* 0 read 
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to direct ! ,secret>y (    
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 to support rese>* &      
programmatic ef=ts t w build on previ\s 
rese>* on ! effects ( adv]se *ildhood   
exp]i5ces4  #a4 ,%ort title2 f9d+s  7a7 
,%ort title ,?is ,act may be cit$ z !   
,improv+ ,data ,collection = ,adv]se    
,*ildhood ,exp]i5ces ,act4  7b7 ,f9d+s  
,congress f9ds ! foll[+3 7#a7 ,c]ta9    
negative ev5ts1 circum/ances1 or        
maltreatm5t to :i* *ildr5 may be expos$1
 kn[n z adv]se *ildhood exp]i5ces1 are  
associat$ ) negative heal? outcomes4    
7#b7 ,*ildhood psy*ological1 physical1  
or sexual abuse2 h\sehold *all5ges su* z
 viol5ce1 sub/ance use1 m5tal illness1  

sep>ation or divorce1 or inc>c]ation ( a
 family memb]2 & emotional or physical  
neglect h be5 %[n to negatively impact a
 p]son's long-t]m heal? & well-be+4     
7#c7 ,adv]se *ildhood exp]i5ces &       
associat$ conditions su* z liv+ 9       
"u-res\rc$ or racially segregat$        
neighborhoods1 frequ5tly mov+1 exp]i5c+ 
food insecurity1 & o!r in/ability c     
cause toxic /ress1 a prolong$ activation
 ( ! /ress-response sy/em4  7#d7        
,exp]i5c+ "o or m adv]se *ildhood       
exp]i5ces is associat$ ) high] risks (  
"s ( ! lead+ causes ( dea? & disability 
9 ! ,unit$ ,/ates4  7#e7 ,m ?an half (  
all p 9 ! ,unit$ ,/ates h exp]i5c$ "o or
 m adv]se *ildhood exp]i5ces4  7#f7 ,!  
,c5t]s = ,disease ,control & ,prev5tion 
has recogniz$ adv]se *ildhood exp]i5ces 
z a major public heal? conc]n & made x a
 priority area = focus 9 ! ,national    
,c5t] = ,injury ,prev5tion & ,control ( 
! ,c5t]s = ,disease ,control &          
,prev5tion4  7#g7 ,fur!r rese>* is ne$$ 
to bett] def9e adv]se *ildhood          

exp]i5ces1 und]/& ! causal pa?way betwe5
 adv]se *ildhood exp]i5ces & physical   
heal? outcomes1 & id5tify protective    
factors aga9/ adv]se *ildhood exp]i5ces 
& _! effects1 9 ord] to in=m & improve  
curr5t programs & future ef=ts to       
promote public heal?4  7#h7             
,evid5ce-bas$ prev5tion & mitigation    
/rategies to address adv]se *ildhood    
exp]i5ces h be5 id5tifi$1 b ef=ts are   
ne$$ to facilitate implem5tation 9      
communities4  #b4 ,support+ rese>* on   
adv]se *ildhood exp]i5ces ,"p ,j ( title
 ,,iii ( ! ,public ,heal? ,s]vice ,act  
7#db ,u4,s4,c4 #bhj;b et seq47 is am5d$ 
by ins]t+ aft] section #cic;,d 7#db     
,u4,s4,c4 #bhj;b-#a;f7 ! foll[+3        
#cic;,e4 ,support+ rese>* on prev5t+ or 
rem$iat+ adv]se *ildhood exp]i5ces  7a7 
,9 g5]al ,! ,secret>y1 act+ ?r\gh !     
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 may1 9 coop]ation ) !    
,/ates1 collect & report data on adv]se 
*ildhood exp]i5ces ?r\gh ! ,behavioral  
,risk ,factor ,surveillance ,sy/em1 !   

,y\? ,risk ,behavior ,surveillance      
,sy/em1 or o!r relevant public heal?    
surveys or que/ionnaires to contribute  
to a longitud9al /udy t-- 7#a7 builds on
 previ\s lit]ature1 includ+ ! sem9al    
,,cdc-,kais] ,p]man5te ,adv]se ,*ildhood
 ,exp]i5ces 7,,ace7 ,/udy1 on ! biology 
& neurosci5ce ( *ildhood adv]sity t     
e/abli%es ! l9ks betwe5 adv]se *ildhood 
exp]i5ces & negative outcomes2 &  7#b7  
focuses on elem5ts n includ$ 9 ! /udy   
ref]r$ to 9 p>agraph 7#a71 includ+--    
7,a7 ! inclusion ( a div]se nationally  
repres5tative sample ( p>ticipants2     
7,b7 ! /r5g? ( ! relation%ip betwe5     
individual1 specific adv]se *ildhood    
exp]i5ces & negative heal? outcomes2    
7,c7 ! int5sity & frequ5cy ( adv]se     
*ildhood exp]i5ces2  7,d7 ! relative    
/r5g? ( p>ticul> risk & protective      
factors2 &  7,e7 ! effect ( social1     
economic1 & community conditions on     
heal? & well-be+4  7b7 ,te*nical        
assi/ance ,! ,secret>y may1 directly or 
?r\gh aw>ds ( grants or contracts to    

public or nonpr(it private entities1    
provide te*nical assi/ance ) respect to 
! collection & report+ ( data z describ$
 9 subsection 7a74  7c7 ,au?orization ( 
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section     
#aj1jjj1jjj = ea* ( fiscal ye>s #bjba   
?r\gh #bjbf4  4