II 

116TH CONGRESS 

2D SESSION S. 5018 

To amend the Public Health Service Act to establish a grant program supporting trauma center violence intervention and violence prevention programs, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

DECEMBER 15, 2020 

Mr. CARDIN introduced the following bill; which was read twice and referred 

to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To amend the Public Health Service Act to establish a grant 

program supporting trauma center violence intervention 

and violence prevention programs, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘End the Cycle of Vio5 lence Act of 2020’’. 


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1 SEC. 2. GRANT PROGRAM SUPPORTING TRAUMA CENTER 

2 VIOLENCE INTERVENTION AND VIOLENCE 

3 PREVENTION PROGRAMS. 

4 Part P of title III of the Public Health Service Act 

5 (42 U.S.C. 280g et seq.) is amended by adding at the end 

6 the following new section: 

7 ‘‘SEC. 399V–7. GRANT PROGRAM SUPPORTING TRAUMA CEN8 TER VIOLENCE INTERVENTION AND VIO9 LENCE PREVENTION PROGRAMS. 

10 ‘‘(a) AUTHORITY ESTABLISHED.— 

11 ‘‘(1) IN GENERAL.—The Secretary shall award 

12 grants to eligible entities to establish or expand vio13 lence intervention or prevention programs for serv14 ices and research designed to reduce the incidence of 

15 reinjury and reincarceration caused by intentional 

16 violent trauma, excluding intimate partner violence. 

17 ‘‘(2) FIRST AWARD.—Not later than 9 months 

18 after the date of enactment of this section, the Sec19 retary shall make the first award under paragraph 

20 (1). 

21 ‘‘(3) GRANT DURATION.—Each grant awarded 

22 under paragraph (1) shall be for a period of 3 years. 

23 ‘‘(4) GRANT AMOUNT.—The total amount of 

24 each grant awarded under paragraph (1) for the 3- 

25 year grant period shall be not less than $250,000 

26 and not more than $500,000. 


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1 ‘‘(5) SUPPLEMENT NOT SUPPLANT.—A grant 

2 awarded under paragraph (1) to an eligible entity 

3 with an existing program described in paragraph (1) 

4 shall be used to supplement, and not supplant, any 

5 other funds provided to such entity for such pro6 gram. 

7 ‘‘(b) ELIGIBLE ENTITIES.—To be eligible to receive 

8 a grant under subsection (a)(1), an entity shall— 

9 ‘‘(1) either be— 

10 ‘‘(A) a State-designated trauma center, or 

11 a trauma center verified by the American Col12 lege of Surgeons, that conducts or seeks to con13 duct a violence intervention or violence preven14 tion program; or 

15 ‘‘(B) a nonprofit entity that conducts or 

16 seeks to conduct a program described in sub17 paragraph (A) in cooperation with a trauma 

18 center described in such subparagraph; 

19 ‘‘(2) serve a community in which at least 100 

20 incidents of intentional violent trauma occur annu21 ally; and 

22 ‘‘(3) submit to the Secretary an application at 

23 such time, in such manner, and containing such in24 formation as the Secretary may require. 

25 ‘‘(c) SELECTION OF GRANT RECIPIENTS.— 


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1 ‘‘(1) GEOGRAPHIC DIVERSITY.—In selecting 

2 grant recipients under subsection (a)(1), the Sec3 retary shall ensure that collectively grantees rep4 resent a diversity of geographic areas. 

5 ‘‘(2) PRIORITY.—In selecting grant recipients 

6 under subsection (a)(1), the Secretary shall 

7 prioritize applicants that serve one or more commu8 nities with high absolute numbers or high rates of 

9 intentional violent trauma. 

10 ‘‘(3) HEALTH PROFESSIONAL SHORTAGE

11 AREAS.— 

12 ‘‘(A) ENCOURAGEMENT.—The Secretary 

13 shall encourage entities described in paragraphs 

14 (1) and (2) that are located in or serve a health 

15 professional shortage area to apply for grants 

16 under subsection (a)(1). 

17 ‘‘(B) DEFINITION.—In subparagraph (A), 

18 the term ‘health professional shortage area’ 

19 means a health professional shortage area des20 ignated under section 332. 

21 ‘‘(d) REPORTS.— 

22 ‘‘(1) REPORTS TO SECRETARY.— 

23 ‘‘(A) IN GENERAL.—An entity that re24 ceives a grant under subsection (a)(1) shall 

25 submit reports on the use of the grant funds to 


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1 the Secretary, including progress reports, as re2 quired by the Secretary. Such reports shall in3 clude— 

4 ‘‘(i) any findings of the program es5 tablished, or expanded, by the entity 

6 through the grant; and 

7 ‘‘(ii) if applicable, the manner in 

8 which the entity has incorporated such 

9 findings in the violence intervention or vio10 lence prevention program conducted by 

11 such entity. 

12 ‘‘(B) OPTION FOR JOINT REPORT.—To the 

13 extent feasible and appropriate, an entity that 

14 receives a grant under subsection (a)(1) may 

15 elect to coordinate with one or more other enti16 ties that have received such a grant to submit 

17 a joint report that meets the requirements of 

18 subparagraph (A). 

19 ‘‘(2) REPORT TO CONGRESS.—Not later than 6 

20 years after the date of enactment of the End the 

21 Cycle of Violence Act of 2020, the Secretary shall 

22 submit to Congress a report— 

23 ‘‘(A) on any findings resulting from re24 ports submitted to the Secretary under para25 graph (1); 


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1 ‘‘(B) on best practices developed by the 

2 Secretary under subsection (e); and 

3 ‘‘(C) with recommendations for legislative 

4 action relating to intentional violent trauma 

5 prevention that the Secretary determines appro6 priate. 

7 ‘‘(e) BEST PRACTICES.—Not later than 6 years after 

8 the date of enactment of the End the Cycle of Violence 

9 Act of 2020, the Secretary shall— 

10 ‘‘(1) develop, and post on a public website of 

11 the Department of Health and Human Services, best 

12 practices for intentional violent trauma prevention, 

13 based on any findings reported to the Secretary 

14 under subsection (d)(1); and 

15 ‘‘(2) disseminate such best practices to stake16 holders, as determined appropriate by the Secretary. 

17 ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To 

18 carry out this section, there is authorized to be appro19 priated $10,000,000 for the period of fiscal years 2021 

20 through 2024.’’. 

Æ 


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