H. R. 6—153 

report that analyzes data submitted under section 552(h) of 

the Public Health Service Act, as added by subsection (a). 

(2) FINAL REPORT.—Not later than 2 years after submitting 

the preliminary report required under paragraph (1), the Secretary of Health and Human Services shall submit to Congress 

a final report that includes— 

(A) an evaluation of the effectiveness of the comprehensive services provided by the Centers established or operated pursuant to section 552 of the Public Health Service 

Act, as added by subsection (a), with respect to health 

outcomes of the population of individuals with substance 

use disorder who receive services from the Center, which 

shall include an evaluation of the effectiveness of services 

for treatment and recovery support and to reduce relapse, 

recidivism, and overdose; and 

(B) recommendations, as appropriate, regarding ways 

to improve Federal programs related to substance use disorders, which may include dissemination of best practices 

for the treatment of substance use disorders to health 

care professionals. 

Subtitle N—Trauma-Informed Care 

SEC. 7131. CDC SURVEILLANCE AND DATA COLLECTION FOR CHILD, 

YOUTH, AND ADULT TRAUMA. 

(a) DATA COLLECTION.—The Director of the Centers for Disease 

Control and Prevention (referred to in this section as the ‘‘Director’’) 

may, in cooperation with the States, collect and report data on 

adverse childhood experiences through the Behavioral Risk Factor 

Surveillance System, the Youth Risk Behavior Surveillance System, 

and other relevant public health surveys or questionnaires. 

(b) TIMING.—The collection of data under subsection (a) may 

occur biennially. 

(c) DATA FROM RURAL AREAS.—The Director shall encourage 

each State that participates in collecting and reporting data under 

subsection (a) to collect and report data from rural areas within 

such State, in order to generate a statistically reliable representation of such areas. 

(d) DATA FROM TRIBAL AREAS.—The Director may, in cooperation with Indian Tribes (as defined in section 4 of the Indian 

Self-Determination and Education Assistance Act) and pursuant 

to a written request from an Indian Tribe, provide technical assistance to such Indian Tribe to collect and report data on adverse 

childhood experiences through the Behavioral Risk Factor Surveillance System, the Youth Risk Behavior Surveillance System, or 

another relevant public health survey or questionnaire. 

(e) AUTHORIZATION OF APPROPRIATIONS.—To carry out this section, there is authorized to be appropriated $2,000,000 for each 

of fiscal years 2019 through 2023. 

SEC. 7132. TASK FORCE TO DEVELOP BEST PRACTICES FOR TRAUMAINFORMED IDENTIFICATION, REFERRAL, AND SUPPORT. 

(a) ESTABLISHMENT.—There is established a task force, to be 

known as the Interagency Task Force on Trauma-Informed Care 

(in this section referred to as the ‘‘task force’’) that shall identify, 

evaluate, and make recommendations regarding— 
H. R. 6—154 

(1) best practices with respect to children and youth, and 

their families as appropriate, who have experienced or are 

at risk of experiencing trauma; and 

(2) ways in which Federal agencies can better coordinate 

to improve the Federal response to families impacted by substance use disorders and other forms of trauma. 

(b) MEMBERSHIP.— 

(1) COMPOSITION.—The task force shall be composed of 

the heads of the following Federal departments and agencies, 

or their designees: 

(A) The Centers for Medicare & Medicaid Services. 

(B) The Substance Abuse and Mental Health Services 

Administration. 

(C) The Agency for Healthcare Research and Quality. 

(D) The Centers for Disease Control and Prevention. 

(E) The Indian Health Service. 

(F) The Department of Veterans Affairs. 

(G) The National Institutes of Health. 

(H) The Food and Drug Administration. 

(I) The Health Resources and Services Administration. 

(J) The Department of Defense. 

(K) The Office of Minority Health of the Department 

of Health and Human Services. 

(L) The Administration for Children and Families. 

(M) The Office of the Assistant Secretary for Planning 

and Evaluation of the Department of Health and Human 

Services. 

(N) The Office for Civil Rights of the Department of 

Health and Human Services. 

(O) The Office of Juvenile Justice and Delinquency 

Prevention of the Department of Justice. 

(P) The Office of Community Oriented Policing Services 

of the Department of Justice. 

(Q) The Office on Violence Against Women of the 

Department of Justice. 

(R) The National Center for Education Evaluation and 

Regional Assistance of the Department of Education. 

(S) The National Center for Special Education Research 

of the Institute of Education Science. 

(T) The Office of Elementary and Secondary Education 

of the Department of Education. 

(U) The Office for Civil Rights of the Department of 

Education. 

(V) The Office of Special Education and Rehabilitative 

Services of the Department of Education. 

(W) The Bureau of Indian Affairs of the Department 

of the Interior. 

(X) The Veterans Health Administration of the Department of Veterans Affairs. 

(Y) The Office of Special Needs Assistance Programs 

of the Department of Housing and Urban Development. 

(Z) The Office of Head Start of the Administration 

for Children and Families. 

(AA) The Children’s Bureau of the Administration for 

Children and Families. 

(BB) The Bureau of Indian Education of the Department of the Interior. 
H. R. 6—155 

(CC) Such other Federal agencies as the Secretaries 

determine to be appropriate. 

(2) DATE OF APPOINTMENTS.—The heads of Federal departments and agencies shall appoint the corresponding members 

of the task force not later than 60 days after the date of 

enactment of this Act. 

(3) CHAIRPERSON.—The task force shall be chaired by the 

Assistant Secretary for Mental Health and Substance Use, or 

the Assistant Secretary’s designee. 

(c) TASK FORCE DUTIES.—The task force shall— 

(1) solicit input from stakeholders, including frontline 

service providers, educators, mental health professionals, 

researchers, experts in infant, child, and youth trauma, child 

welfare professionals, and the public, in order to inform the 

activities under paragraph (2); and 

(2) identify, evaluate, make recommendations, and update 

such recommendations not less than annually, to the general 

public, the Secretary of Education, the Secretary of Health 

and Human Services, the Secretary of Labor, the Secretary 

of the Interior, the Attorney General, and other relevant cabinet 

Secretaries, and Congress regarding— 

(A) a set of evidence-based, evidence-informed, and 

promising best practices with respect to— 

(i) prevention strategies for individuals at risk of 

experiencing or being exposed to trauma, including 

trauma as a result of exposure to substance use; 

(ii) the identification of infants, children and youth, 

and their families as appropriate, who have experienced or are at risk of experiencing trauma; 

(iii) the expeditious referral to and implementation 

of trauma-informed practices and supports that prevent and mitigate the effects of trauma, which may 

include whole-family and multi-generational 

approaches; and 

(iv) community based or multi-generational practices that support children and their families; 

(B) a national strategy on how the task force and 

member agencies will collaborate, prioritize options for, 

and implement a coordinated approach, which may 

include— 

(i) data sharing; 

(ii) providing support to infants, children, and 

youth, and their families as appropriate, who have 

experienced or are at risk of experiencing trauma; 

(iii) identifying options for coordinating existing 

grants that support infants, children, and youth, and 

their families as appropriate, who have experienced, 

or are at risk of experiencing, exposure to substance 

use or other trauma, including trauma related to substance use; and 

(iv) other ways to improve coordination, planning, 

and communication within and across Federal agencies, offices, and programs, to better serve children 

and families impacted by substance use disorders; and 

(C) existing Federal authorities at the Department of 

Education, Department of Health and Human Services, 

Department of Justice, Department of Labor, Department 
H. R. 6—156 

of the Interior, and other relevant agencies, and specific 

Federal grant programs to disseminate best practices on, 

provide training in, or deliver services through, traumainformed practices, and disseminate such information— 

(i) in writing to relevant program offices at such 

agencies to encourage grant applicants in writing to 

use such funds, where appropriate, for traumainformed practices; and 

(ii) to the general public through the internet 

website of the task force. 

(d) BEST PRACTICES.—In identifying, evaluating, and recommending the set of best practices under subsection (c), the task 

force shall— 

(1) include guidelines for providing professional development and education for front-line services providers, including 

school personnel, early childhood education program providers, 

providers from child- or youth-serving organizations, housing 

and homeless providers, primary and behavioral health care 

providers, child welfare and social services providers, juvenile 

and family court personnel, health care providers, individuals 

who are mandatory reporters of child abuse or neglect, trained 

nonclinical providers (including peer mentors and clergy), and 

first responders, in— 

(A) understanding and identifying early signs and risk 

factors of trauma in infants, children, and youth, and their 

families as appropriate, including through screening processes and services; 

(B) providing practices to prevent and mitigate the 

impact of trauma, including by fostering safe and stable 

environments and relationships; and 

(C) developing and implementing policies, procedures, 

or systems that— 

(i) are designed to quickly refer infants, children, 

youth, and their families as appropriate, who have 

experienced or are at risk of experiencing trauma to 

the appropriate trauma-informed screening and support and age-appropriate treatment, and to ensure such 

infants, children, youth, and family members receive 

such support; 

(ii) utilize and develop partnerships with early 

childhood education programs, local social services 

organizations, such as organizations serving youth, and 

clinical mental health or other health care providers 

with expertise in providing support services and ageappropriate trauma-informed and evidence-based treatment aimed at preventing or mitigating the effects 

of trauma; 

(iii) educate children and youth to— 

(I) understand and identify the signs, effects, 

or symptoms of trauma; and 

(II) build the resilience and coping skills to 

mitigate the effects of experiencing trauma; 

(iv) promote and support multi-generational practices that assist parents, foster parents, and kinship 

and other caregivers in accessing resources related to, 

and developing environments conducive to, the prevention and mitigation of trauma; and 
H. R. 6—157 

(v) collect and utilize data from screenings, referrals, or the provision of services and supports to 

evaluate outcomes and improve processes for traumainformed services and supports that are culturally sensitive, linguistically appropriate, and specific to age 

ranges and sex, as applicable; 

(2) recommend best practices that are designed to avoid 

unwarranted custody loss or criminal penalties for parents 

or guardians in connection with infants, children, and youth 

who have experienced or are at risk of experiencing trauma; 

and 

(3) recommend opportunities for local- and State-level partnerships that— 

(A) are designed to quickly identify and refer children 

and families, as appropriate, who have experienced or are 

at risk of experiencing exposure to trauma, including 

related to substance use; 

(B) utilize and develop partnerships with early childhood education programs, local social services organizations, and health care services aimed at preventing or 

mitigating the effects of exposure to trauma, including 

related to substance use; 

(C) offer community-based prevention activities, 

including educating families and children on the effects 

of exposure to trauma, such as trauma related to substance 

use, and how to build resilience and coping skills to mitigate those effects; 

(D) in accordance with Federal privacy protections, 

utilize non-personally-identifiable data from screenings, 

referrals, or the provision of services and supports to 

evaluate and improve processes addressing exposure to 

trauma, including related to substance use; and 

(E) are designed to prevent separation and support 

reunification of families if in the best interest of the child. 

(e) OPERATING PLAN.—Not later than 120 days after the date 

of enactment of this Act, the task force shall hold the first meeting. 

Not later than 2 years after such date of enactment, the task 

force shall submit to the Secretary of Education, Secretary of Health 

and Human Services, Secretary of Labor, Secretary of the Interior, 

the Attorney General, and Congress an operating plan for carrying 

out the activities of the task force described in subsection (c)(2). 

Such operating plan shall include— 

(1) a list of specific activities that the task force plans 

to carry out for purposes of carrying out duties described in 

subsection (c)(2), which may include public engagement; 

(2) a plan for carrying out the activities under subsection 

(c)(2); 

(3) a list of members of the task force and other individuals 

who are not members of the task force that may be consulted 

to carry out such activities; 

(4) an explanation of Federal agency involvement and 

coordination needed to carry out such activities, including any 

statutory or regulatory barriers to such coordination; 

(5) a budget for carrying out such activities; 

(6) a proposed timeline for implementing recommendations 

and efforts identified under subsection (c); and 
H. R. 6—158 

(7) other information that the task force determines appropriate as related to its duties. 

(f) FINAL REPORT.—Not later than 3 years after the date of 

the first meeting of the task force, the task force shall submit 

to the general public, Secretary of Education, Secretary of Health 

and Human Services, Secretary of Labor, Secretary of the Interior, 

the Attorney General, other relevant cabinet Secretaries, the Committee on Energy and Commerce and the Committee on Education 

and the Workforce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate, 

and Congress, a final report containing all of the findings and 

recommendations required under this section, and shall make such 

report available online in an accessible format. 

(g) ADDITIONAL REPORTS.—In addition to the final report under 

subsection (f). the task force shall submit— 

(1) a report to Congress identifying any recommendations 

identified under subsection (c) that require additional legislative authority to implement; and 

(2) a report to the Governors describing the opportunities 

for local- and State-level partnerships, professional development, or best practices recommended under subsection (d)(3). 

(h) DEFINITIONS.—In this section— 

(1) the term ‘‘early childhood education program’’ has the 

meaning given such term in section 103 of the Higher Education 

Act of 1965 (20 U.S.C. 1003); 

(2) The term ‘‘Governor’’ means the chief executive officer 

of a State; and 

(3) the term ‘‘State’’ means each of the several States, 

the District of Columbia, the Commonwealth of Puerto Rico, 

the Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands. 

(i) SUNSET.—The task force shall sunset on the date that is 

60 days after the submission of the final report under subsection 

(f), but not later than September 30, 2023. 

SEC. 7133. NATIONAL CHILD TRAUMATIC STRESS INITIATIVE. 

Section 582(j) of the Public Health Service Act (42 U.S.C. 

290hh–1(j)) (relating to grants to address the problems of persons 

who experience violence-related stress) is amended by striking 

‘‘$46,887,000 for each of fiscal years 2018 through 2022’’ and 

inserting ‘‘$63,887,000 for each of fiscal years 2019 through 2023’’. 

SEC. 7134. GRANTS TO IMPROVE TRAUMA SUPPORT SERVICES AND 

MENTAL HEALTH CARE FOR CHILDREN AND YOUTH IN 

EDUCATIONAL SETTINGS. 

(a) GRANTS, CONTRACTS, AND COOPERATIVE AGREEMENTS

AUTHORIZED.—The Secretary, in coordination with the Assistant 

Secretary for Mental Health and Substance Use, is authorized 

to award grants to, or enter into contracts or cooperative agreements 

with, State educational agencies, local educational agencies, Indian 

Tribes (as defined in section 4 of the Indian Self-Determination 

and Education Assistance Act) or their tribal educational agencies, 

a school operated by the Bureau of Indian Education, a Regional 

Corporation, or a Native Hawaiian educational organization, for 

the purpose of increasing student access to evidence-based trauma 

support services and mental health care by developing innovative 

initiatives, activities, or programs to link local school systems with 
H. R. 6—159 

local trauma-informed support and mental health systems, 

including those under the Indian Health Service. 

(b) DURATION.—With respect to a grant, contract, or cooperative 

agreement awarded or entered into under this section, the period 

during which payments under such grant, contract or agreement 

are made to the recipient may not exceed 4 years. 

(c) USE OF FUNDS.—An entity that receives a grant, contract, 

or cooperative agreement under this section shall use amounts 

made available through such grant, contract, or cooperative agreement for evidence-based activities, which shall include any of the 

following: 

(1) Collaborative efforts between school-based service systems and trauma-informed support and mental health service 

systems to provide, develop, or improve prevention, screening, 

referral, and treatment and support services to students, such 

as providing trauma screenings to identify students in need 

of specialized support. 

(2) To implement schoolwide positive behavioral interventions and supports, or other trauma-informed models of support. 

(3) To provide professional development to teachers, teacher 

assistants, school leaders, specialized instructional support personnel, and mental health professionals that— 

(A) fosters safe and stable learning environments that 

prevent and mitigate the effects of trauma, including 

through social and emotional learning; 

(B) improves school capacity to identify, refer, and 

provide services to students in need of trauma support 

or behavioral health services; or 

(C) reflects the best practices for trauma-informed 

identification, referral, and support developed by the Task 

Force under section 7132. 

(4) Services at a full-service community school that focuses 

on trauma-informed supports, which may include a full-time 

site coordinator, or other activities consistent with section 4625 

of the Elementary and Secondary Education Act of 1965 (20 

U.S.C. 7275). 

(5) Engaging families and communities in efforts to increase 

awareness of child and youth trauma, which may include 

sharing best practices with law enforcement regarding traumainformed care and working with mental health professionals 

to provide interventions, as well as longer term coordinated 

care within the community for children and youth who have 

experienced trauma and their families. 

(6) To provide technical assistance to school systems and 

mental health agencies. 

(7) To evaluate the effectiveness of the program carried 

out under this section in increasing student access to evidencebased trauma support services and mental health care. 

(8) To establish partnerships with or provide subgrants 

to Head Start agencies (including Early Head Start agencies), 

public and private preschool programs, child care programs 

(including home-based providers), or other entities described 

in subsection (a), to include such entities described in this 

paragraph in the evidence-based trauma initiatives, activities, 

support services, and mental health systems established under 

this section in order to provide, develop, or improve prevention, 
H. R. 6—160 

screening, referral, and treatment and support services to young 

children and their families. 

(d) APPLICATIONS.—To be eligible to receive a grant, contract, 

or cooperative agreement under this section, an entity described 

in subsection (a) shall submit an application to the Secretary at 

such time, in such manner, and containing such information as 

the Secretary may reasonably require, which shall include the following: 

(1) A description of the innovative initiatives, activities, 

or programs to be funded under the grant, contract, or cooperative agreement, including how such program will increase 

access to evidence-based trauma support services and mental 

health care for students, and, as applicable, the families of 

such students. 

(2) A description of how the program will provide linguistically appropriate and culturally competent services. 

(3) A description of how the program will support students 

and the school in improving the school climate in order to 

support an environment conducive to learning. 

(4) An assurance that— 

(A) persons providing services under the grant, contract, or cooperative agreement are adequately trained to 

provide such services; and 

(B) teachers, school leaders, administrators, specialized 

instructional support personnel, representatives of local 

Indian Tribes or tribal organizations as appropriate, other 

school personnel, and parents or guardians of students 

participating in services under this section will be engaged 

and involved in the design and implementation of the services. 

(5) A description of how the applicant will support and 

integrate existing school-based services with the program in 

order to provide mental health services for students, as appropriate. 

(6) A description of the entities in the community with 

which the applicant will partner or to which the applicant 

will provide subgrants in accordance with subsection (c)(8). 

(e) INTERAGENCY AGREEMENTS.— 

(1) LOCAL INTERAGENCY AGREEMENTS.—To ensure the 

provision of the services described in subsection (c), a recipient 

of a grant, contract, or cooperative agreement under this section, or their designee, shall establish a local interagency agreement among local educational agencies, agencies responsible 

for early childhood education programs, Head Start agencies 

(including Early Head Start agencies), juvenile justice authorities, mental health agencies, child welfare agencies, and other 

relevant agencies, authorities, or entities in the community 

that will be involved in the provision of such services. 

(2) CONTENTS.—In ensuring the provision of the services 

described in subsection (c), the local interagency agreement 

shall specify with respect to each agency, authority, or entity 

that is a party to such agreement— 

(A) the financial responsibility for the services; 

(B) the conditions and terms of responsibility for the 

services, including quality, accountability, and coordination 

of the services; and 
H. R. 6—161 

(C) the conditions and terms of reimbursement among 

such agencies, authorities, or entities, including procedures 

for dispute resolution. 

(f) EVALUATION.—The Secretary shall reserve not more than 

3 percent of the funds made available under subsection (l) for 

each fiscal year to— 

(1) conduct a rigorous, independent evaluation of the activities funded under this section; and 

(2) disseminate and promote the utilization of evidencebased practices regarding trauma support services and mental 

health care. 

(g) DISTRIBUTION OF AWARDS.—The Secretary shall ensure that 

grants, contracts, and cooperative agreements awarded or entered 

into under this section are equitably distributed among the geographical regions of the United States and among tribal, urban, 

suburban, and rural populations. 

(h) RULE OF CONSTRUCTION.—Nothing in this section shall be 

construed— 

(1) to prohibit an entity involved with a program carried 

out under this section from reporting a crime that is committed 

by a student to appropriate authorities; or 

(2) to prevent Federal, State, and tribal law enforcement 

and judicial authorities from exercising their responsibilities 

with regard to the application of Federal, tribal, and State 

law to crimes committed by a student. 

(i) SUPPLEMENT, NOT SUPPLANT.—Any services provided 

through programs carried out under this section shall supplement, 

and not supplant, existing mental health services, including any 

special education and related services provided under the Individuals with Disabilities Education Act (20 U.S.C. 1400 et seq.). 

(j) CONSULTATION WITH INDIAN TRIBES.—In carrying out subsection (a), the Secretary shall, in a timely manner, meaningfully 

consult with Indian Tribes and their representatives to ensure 

notice of eligibility. 

(k) DEFINITIONS.—In this section: 

(1) ELEMENTARY SCHOOL.—The term ‘‘elementary school’’ 

has the meaning given such term in section 8101 of the 

Elementary and Secondary Education Act of 1965 (20 U.S.C. 

7801). 

(2) EVIDENCE-BASED.—The term ‘‘evidence-based’’ has the 

meaning given such term in section 8101(21)(A)(i) of the 

Elementary and Secondary Education Act of 1965 (20 U.S.C. 

7801(21)(A)(i)). 

(3) NATIVE HAWAIIAN EDUCATIONAL ORGANIZATION.—The 

term ‘‘Native Hawaiian educational organization’’ has the 

meaning given such term in section 6207 of the Elementary 

and Secondary Education Act of 1965 (20 U.S.C. 7517). 

(4) LOCAL EDUCATIONAL AGENCY.—The term ‘‘local educational agency’’ has the meaning given such term in section 

8101 of the Elementary and Secondary Education Act of 1965 

(20 U.S.C. 7801). 

(5) REGIONAL CORPORATION.—The term ‘‘Regional Corporation’’ has the meaning given the term in section 3 of the 

Alaska Native Claims Settlement Act (43 U.S.C. 1602)). 

(6) SCHOOL.—The term ‘‘school’’ means a public elementary 

school or public secondary school. 
H. R. 6—162 

(7) SCHOOL LEADER.—The term ‘‘school leader’’ has the 

meaning given such term in section 8101 of the Elementary 

and Secondary Education Act of 1965 (20 U.S.C. 7801). 

(8) SECONDARY SCHOOL.—The term ‘‘secondary school’’ has 

the meaning given such term in section 8101 of the Elementary 

and Secondary Education Act of 1965 (20 U.S.C. 7801). 

(9) SECRETARY.—The term ‘‘Secretary’’ means the Secretary 

of Education. 

(10) SPECIALIZED INSTRUCTIONAL SUPPORT PERSONNEL.— 

The term ‘‘specialized instructional support personnel’’ has the 

meaning given such term in section 8101 of the Elementary 

and Secondary Education Act of 1965 (20 U.S.C. 7801). 

(11) STATE EDUCATIONAL AGENCY.—The term ‘‘State educational agency’’ has the meaning given such term in section 

8101 of the Elementary and Secondary Education Act of 1965 

(20 U.S.C. 7801). 

(l) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 

to be appropriated to carry out this section, $50,000,000 for each 

of fiscal years 2019 through 2023. 

SEC. 7135. RECOGNIZING EARLY CHILDHOOD TRAUMA RELATED TO 

SUBSTANCE ABUSE. 

(a) DISSEMINATION OF INFORMATION.—The Secretary of Health 

and Human Services shall disseminate information, resources, and, 

if requested, technical assistance to early childhood care and education providers and professionals working with young children 

on— 

(1) ways to properly recognize children who may be 

impacted by trauma, including trauma related to substance 

use by a family member or other adult; and 

(2) how to respond appropriately in order to provide for 

the safety and well-being of young children and their families. 

(b) GOALS.—The information, resources, and technical assistance provided under subsection (a) shall— 

(1) educate early childhood care and education providers 

and professionals working with young children on understanding and identifying the early signs and risk factors of 

children who might be impacted by trauma, including trauma 

due to exposure to substance use; 

(2) suggest age-appropriate communication tools, procedures, and practices for trauma-informed care, including ways 

to prevent or mitigate the effects of trauma; 

(3) provide options for responding to children impacted 

by trauma, including due to exposure to substance use, that 

consider the needs of the child and family, including recommending resources and referrals for evidence-based services 

to support such family; and 

(4) promote whole-family and multi-generational 

approaches to keep families safely together when it is in the 

best interest of the child. 

(c) COORDINATION.—The Secretary of Health and Human Services shall coordinate with the task force to develop best practices 

for trauma-informed identification, referral, and support authorized 

under section 7132 in disseminating the information, resources, 

and technical assistance described under subsection (b). 
H. R. 6—163 

(d) RULE OF CONSTRUCTION.—Such information, resources, and 

if applicable, technical assistance, shall not be construed to amend 

the requirements under— 

(1) the Child Care and Development Block Grant Act of 

1990 (42 U.S.C. 9858 et seq.); 

(2) the Head Start Act (42 U.S.C. 9831 et seq.); or 

(3) the Individuals with Disabilities Education Act (20 

U.S.C. 1400 et seq.). 

Subtitle O—Eliminating Opioid Related 

Infectious Diseases 

SEC. 7141. REAUTHORIZATION AND EXPANSION OF PROGRAM OF 

SURVEILLANCE AND EDUCATION REGARDING INFECTIONS ASSOCIATED WITH ILLICIT DRUG USE AND OTHER 

RISK FACTORS. 

Section 317N of the Public Health Service Act (42 U.S.C. 247b– 

15) is amended to read as follows: 

‘‘SEC. 317N. SURVEILLANCE AND EDUCATION REGARDING INFECTIONS 

ASSOCIATED WITH ILLICIT DRUG USE AND OTHER RISK 

FACTORS. 

‘‘(a) IN GENERAL.—The Secretary, acting through the Director 

of the Centers for Disease Control and Prevention, may (directly 

or through grants to public and nonprofit private entities) provide 

for programs for the following: 

‘‘(1) To cooperate with States and Indian tribes in implementing or maintaining a national system to determine the 

incidence of infections commonly associated with illicit drug 

use, such as viral hepatitis, human immunodeficiency virus, 

and infective endocarditis, and to assist the States in determining the prevalence of such infections, which may include 

the reporting of cases of such infections. 

‘‘(2) To identify, counsel, and offer testing to individuals 

who are at risk of infections described in paragraph (1) resulting 

from illicit drug use, receiving blood transfusions prior to July 

1992, or other risk factors. 

‘‘(3) To provide appropriate referrals for counseling, testing, 

and medical treatment of individuals identified under paragraph (2) and to ensure, to the extent practicable, the provision 

of appropriate follow-up services. 

‘‘(4) To develop and disseminate public information and 

education programs for the detection and control of infections 

described in paragraph (1), with priority given to high-risk 

populations as determined by the Secretary. 

‘‘(5) To improve the education, training, and skills of health 

professionals in the detection and control of infections described 

in paragraph (1), including to improve coordination of treatment 

of substance use disorders and infectious diseases, with priority 

given to substance use disorder treatment providers, pediatricians and other primary care providers, obstetrician-gynecologists, and infectious disease clinicians, including HIV clinicians. 

‘‘(b) LABORATORY PROCEDURES.—The Secretary may (directly 

or through grants to public and nonprofit private entities) carry 

out programs to provide for improvements in the quality of clinical-