,,ii  #aah? ,,congress  #a/ ,session    
,s4 #cjhe  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #ai1 #bjbc,mr4 
,k+ 7= himself & ,ms4 ,murk[ski7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to e/abli% a program =      
purposes ( c>ry+ out programs to prev5t 
adv]se *ildhood exp]i5ces & promot+     
positive *ildhood exp]i5ces1 & to       
require ! ,secret>y ( ,heal? & ,human   
,s]vices to conduct /udies1 evaluations1
 & rese>* to address adv]se *ildhood    
exp]i5ces1 includ+ ?r\gh ! promotion (  
positive *ildhood exp]i5ces4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,prev5t+
 ,adv]se ,*ildhood ,exp]i5ces ,act or ! 
,,pace ,act4  #b4 ,programs to prev5t   
adv]se *ildhood exp]i5ces & promote     
positive *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 !  
foll[+3  #cic;,e4 ,programs to prev5t   

adv]se *ildhood exp]i5ces & promote     
positive *ildhood exp]i5ces  7a7 ,grant 
program  7#a7 ,9 g5]al ,! ,secret>y1    
act+ ?r\gh ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion1 %all    
aw>d grants or coop]ative agreem5ts to  
,/ates1 t]ritories1 ,indian ,tribes &   
,tribal organizations1 & local          
gov]nm5tal entities = purposes ( c>ry+  
out programs to prev5t adv]se *ildhood  
exp]i5ces & promot+ positive *ildhood   
exp]i5ces4  7#b7 ,use ( funds ,recipi5ts
 ( an aw>d "u ?is subsection %all use   
su* aw>d to c>ry out any ( ! foll[+     
activities3 7,a7 ,prev5tion ( adv]se    
*ildhood exp]i5ces & promotion (        
positive *ildhood exp]i5ces ?r\gh-- 7i7 
data-driv51 compreh5sive1 evid5ce-bas$  
adv]se *ildhood exp]i5ce prev5tion      
/rategies & approa*es2 &  7ii7          
activities t lev]age multi-sector       
p>tn]%ips & res\rces to coord9ate &     
implem5t prev5tion activities4  7,b7    
,activities to improve quality &        
consi/5cy ( data collection & analysis  

reg>d+ ! prev5tion ( adv]se *ildhood    
exp]i5ces & ! promotion ( positive      
*ildhood exp]i5ces1 & use ( su* data to 
in=m ! implem5tation ( prev5tion        
/rategies1 :i* may include-- 7i7        
evaluat+ data to cont9u\sly id5tify--   
7,i7 specific types ( adv]se *ildhood   
exp]i5ces ) high burd52  7,,ii7 specific
 types ( positive *ildhood exp]i5ces )  
l[ preval5ce2 &  7,,iii7 geographically 
& demographically specific              
subpopulations ( int]e/ 9 ! ,/ate1      
t]ritory1 locality1 or l& ( ! ,tribe t h
 a disproportionate burd5 ( adv]se      
*ildhood exp]i5ces t contribute to heal?
 inequities2  7ii7 us+ data to in=m     
/rategic selection or adju/m5t (        
prev5tion /rategies or prev5tion /rategy
 implem5tation ef=ts = populations )    
disproportionate burd52  7iii7 conduct+ 
or updat+ capacity assessm5ts = adv]se  
*ildhood exp]i5ces & promotion (        
positive *ildhood exp]i5ces data        
collection1 analysis1 & read9ess to     
implem5t jurisdiction-wide adv]se       

*ildhood exp]i5ces prev5tion plans &    
program improvem5t activities2 &  7iv7  
promot+ collaborations to focus on !    
complex & *ang+ nature ( ! ov]dose &    
m5tal heal? crises & _! reciprocal      
impact on ! preval5ce ( adv]se *ildhood 
exp]i5ces z urg5t1 relat$1 & prev5table 
public heal? *all5ges t require an      
int]discipl9>y1 compreh5sive1 & cohesive
 public heal? approa* t addresses su*   
int]relat$ risks bo? z adv]se *ildhood  
exp]i5ces & contributors to future heal?
 risk behaviors4  7#c7 ,te*nical        
assi/ance ,! ,secret>y may provide tra9+
 & te*nical assi/ance to recipi5ts (    
aw>ds "u ?is subsection4  7#d7 ,program 
evaluation ,n lat] ?an #b ye>s aft] mak+
 ! fir/ aw>ds "u ?is subsection1 &      
annually !reaft]1 ! ,secret>y %all      
report to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives on 
! p]=mance ( programs conduct$ by       
recipi5ts ( aw>ds "u ?is subsection4    

7#e7 ,consid]ations ,9 mak+ aw>ds "u    
subsection 7a71 ! ,secret>y may give    
priority to-- 7,a7 ,indian ,tribes or   
,tribal organizations2 or  7,b7 entities
 ) previ\s programmatic exp]i5ce 9      
prev5t+ adv]se *ildhood exp]i5ces or    
promot+ positive *ildhood exp]i5ces4    
7b7 ,/udies1 evaluations1 & rese>*  7#a7
 ,9 g5]al ,! ,secret>y1 act+ ?r\gh !    
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all conduct /udies1     
evaluations1 & rese>* to-- 7,a7 address 
adv]se *ildhood exp]i5ces1 includ+      
consid]ation ( ! impact ( hi/orical     
trauma 9 communities disproportionately 
impact$1 z id5tifi$ by ! ,secret>y1 su* 
z ,am]ican ,indians & ,alaska ,natives &
 ! int]sections betwe5 hi/orical trauma 
& adv]se *ildhood exp]i5ces2 &  7,b7    
promote positive *ildhood exp]i5ces4    
7#b7 ,cont5t ,! /udies1 evaluations1 &  
rese>* "u ?is subsection %all-- 7,a7    
include div]se1 nationally repres5tative
 samples ( p>ticipants2  7,b7 include at
 lea/ "o longitud9al /udy2 &  7,c7      

exam9e factors includ+-- 7i7 ! /r5g? ( !
 relation%ip betwe5 individual1 specific
 adv]se *ildhood exp]i5ces & negative   
heal? outcomes2  7ii7 ! int5sity &      
frequ5cy ( adv]se *ildhood exp]i5ces2   
7iii7 ! relative /r5g? ( p>ticul> risk &
 protective factors2 &  7iv7 ! effect ( 
social1 economic1 & o!r community       
conditions1 includ+ hi/orical trauma1 on
 heal? & well-be+4  7c7 ,def9itions ,9  
?is section3 7#a7 ,adv]se *ildhood      
exp]i5ces ,! t]m adv]se *ildhood        
exp]i5ces means prev5table1 pot5tially  
traumatic ev5ts t occur 9 *ildhood1 &   
include-- 7,a7 exp]i5c+ viol5ce1 abuse1 
or neglect2  7,b7 witness+ viol5ce 9 !  
home or community2  7,c7 hav+ a family  
memb] attempt or die by suicide2 &  7,d7
 aspects ( a *ild's environm5t t c      
und]m9e _! s5se ( safety1 /ability1 &   
bond+1 su* z gr[+ up 9 a h\sehold :]e a 
p>5t or c>egiv] /ruggles ) sub/ance use1
 m5tal heal? *all5ges1 or in/ability due
 to p>5tal sep>ation or h\sehold memb]s 
be+ 9 jail or prison4  7#b7 ,*ild2      

*ildhood ,! t]m *ild or *ildhood means  
an individual "u ! age ( #ah1 or ! p]iod
 ( "t 9 "o's life prior to rea*+ ! age (
 #ah4  7#c7 ,hi/orical trauma ,! t]m    
hi/orical trauma means ! cumulative1    
transg5]ational1 collective exp]i5ce (  
emotional & psy*ological injury 9       
communities4  7#d7 ,indian ,tribe &     
,tribal organization ,! t]ms ,indian    
,tribe & ,tribal organization h ! mean+s
 giv5 su* t]ms 9 section #d ( ! ,indian 
,self-,det]m9ation & ,education         
,assi/ance ,act4  7#e7 ,positive        
*ildhood exp]i5ces ,! t]m positive      
*ildhood exp]i5ces means exp]i5ces 9 a  
*ild's home or community & c create or  
enhance safe1 /able1 nurtur+            
relation%ips & environm5ts1 & include   
positive int]p]sonal exp]i5ces ) family 
& fri5ds1 & e>ly c>e sett+s1 s*ools1 &  
community su* z positive p>5t+ &        
discipl9e me?ods1 m5tor+1 & trauma-in=m$
 c>e approa*es4  7d7 ,au?orization (    
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$ su*  

sums z may be necess>y = ea* ( fiscal   
ye>s #bjbd ?r\gh #bjbh4  4