,,ii #aahth ,,congress #ast ,session ,s4 #cjhe ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,october #ai1 #bjbc,mr4 ,king 7for himself 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 establish a program for purposes of carrying out programs to prevent adverse childhood experiences and promoting positive childhood experiences1 and to require the ,secretary of ,health and ,human ,services to conduct studies1 evaluations1 and research to address adverse childhood experiences1 including through the promotion of positive childhood experiences4 #a4 ,short title ,this ,act may be cited as the ,preventing ,adverse ,childhood ,experiences ,act or the ,,pace ,act4 #b4 ,programs to prevent adverse childhood experiences and promote positive 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 the following3 #cic;,e4 ,programs to prevent adverse childhood experiences and promote positive childhood experiences 7a7 ,grant program 7#a7 ,in general ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall award grants or cooperative agreements to ,states1 territories1 ,indian ,tribes and ,tribal organizations1 and local governmental entities for purposes of carrying out programs to prevent adverse childhood experiences and promoting positive childhood experiences4 7#b7 ,use of funds ,recipients of an award under this subsection shall use such award to carry out any of the following activities3 7,a7 ,prevention of adverse childhood experiences and promotion of positive childhood experiences through-- 7i7 data-driven1 comprehensive1 evidence-based adverse childhood experience prevention strategies and approaches2 and 7ii7 activities that leverage multi-sector partnerships and resources to coordinate and implement prevention activities4 7,b7 ,activities to improve quality and consistency of data collection and analysis regarding the prevention of adverse childhood experiences and the promotion of positive childhood experiences1 and use of such data to inform the implementation of prevention strategies1 which may include-- 7i7 evaluating data to continuously identify-- 7,i7 specific types of adverse childhood experiences with high burden2 7,,ii7 specific types of positive childhood experiences with low prevalence2 and 7,,iii7 geographically and demographically specific subpopulations of interest in the ,state1 territory1 locality1 or land of the ,tribe that have a disproportionate burden of adverse childhood experiences that contribute to health inequities2 7ii7 using data to inform strategic selection or adjustment of prevention strategies or prevention strategy implementation efforts for populations with disproportionate burden2 7iii7 conducting or updating capacity assessments for adverse childhood experiences and promotion of positive childhood experiences data collection1 analysis1 and readiness to implement jurisdiction-wide adverse childhood experiences prevention plans and program improvement activities2 and 7iv7 promoting collaborations to focus on the complex and changing nature of the overdose and mental health crises and their reciprocal impact on the prevalence of adverse childhood experiences as urgent1 related1 and preventable public health challenges that require an interdisciplinary1 comprehensive1 and cohesive public health approach that addresses such interrelated risks both as adverse childhood experiences and contributors to future health risk behaviors4 7#c7 ,technical assistance ,the ,secretary may provide training and technical assistance to recipients of awards under this subsection4 7#d7 ,program evaluation ,not later than #b years after making the first awards under this subsection1 and annually thereafter1 the ,secretary shall report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives on the performance of programs conducted by recipients of awards under this subsection4 7#e7 ,considerations ,in making awards under subsection 7a71 the ,secretary may give priority to-- 7,a7 ,indian ,tribes or ,tribal organizations2 or 7,b7 entities with previous programmatic experience in preventing adverse childhood experiences or promoting positive childhood experiences4 7b7 ,studies1 evaluations1 and research 7#a7 ,in general ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall conduct studies1 evaluations1 and research to-- 7,a7 address adverse childhood experiences1 including consideration of the impact of historical trauma in communities disproportionately impacted1 as identified by the ,secretary1 such as ,american ,indians and ,alaska ,natives and the intersections between historical trauma and adverse childhood experiences2 and 7,b7 promote positive childhood experiences4 7#b7 ,content ,the studies1 evaluations1 and research under this subsection shall-- 7,a7 include diverse1 nationally representative samples of participants2 7,b7 include at least one longitudinal study2 and 7,c7 examine factors including-- 7i7 the strength of the relationship between individual1 specific adverse childhood experiences and negative health outcomes2 7ii7 the intensity and frequency of adverse childhood experiences2 7iii7 the relative strength of particular risk and protective factors2 and 7iv7 the effect of social1 economic1 and other community conditions1 including historical trauma1 on health and well-being4 7c7 ,definitions ,in this section3 7#a7 ,adverse childhood experiences ,the term adverse childhood experiences means preventable1 potentially traumatic events that occur in childhood1 and include-- 7,a7 experiencing violence1 abuse1 or neglect2 7,b7 witnessing violence in the home or community2 7,c7 having a family member attempt or die by suicide2 and 7,d7 aspects of a child's environment that can undermine their sense of safety1 stability1 and bonding1 such as growing up in a household where a parent or caregiver struggles with substance use1 mental health challenges1 or instability due to parental separation or household members being in jail or prison4 7#b7 ,child2 childhood ,the term child or childhood means an individual under the age of #ah1 or the period of time in one's life prior to reaching the age of #ah4 7#c7 ,historical trauma ,the term historical trauma means the cumulative1 transgenerational1 collective experience of emotional and psychological injury in communities4 7#d7 ,indian ,tribe and ,tribal organization ,the terms ,indian ,tribe and ,tribal organization have the meanings given such terms in section #d of the ,indian ,self-,determination and ,education ,assistance ,act4 7#e7 ,positive childhood experiences ,the term positive childhood experiences means experiences in a child's home or community and can create or enhance safe1 stable1 nurturing relationships and environments1 and include positive interpersonal experiences with family and friends1 and early care settings1 schools1 and community such as positive parenting and discipline methods1 mentoring1 and trauma-informed care approaches4 7d7 ,authorization of appropriations ,to carry out this section1 there is authorized to be appropriated such sums as may be necessary for each of fiscal years #bjbd through #bjbh4 4