II 

117TH CONGRESS 

1ST SESSION S. 2086 

To improve the identification and support of children and families who 

experience trauma. 

IN THE SENATE OF THE UNITED STATES 

JUNE 16, 2021 

Mr. DURBIN (for himself, Mrs. CAPITO, Ms. DUCKWORTH, and Ms. MURKOWSKI) introduced the following bill; which was read twice and referred 

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

A BILL 

To improve the identification and support of children and 

families who experience trauma. 

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 ‘‘Resilience Investment, 

5 Support, and Expansion from Trauma Act’’ or the ‘‘RISE 

6 from Trauma Act’’. 


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1 TITLE I—COMMUNITY 

2 PROGRAMMING 

3 SEC. 101. TRAUMA AND RESILIENCE-RELATED COORDI4 NATING BODIES. 

5 Title V of the Public Health Service Act is amended 

6 by inserting after section 520A (42 U.S.C. 290bb-32) the 

7 following: 

8 ‘‘SEC. 520B. LOCAL COORDINATING BODIES TO ADDRESS 

9 COMMUNITY TRAUMA, PREVENTION, AND RE10 SILIENCE. 

11 ‘‘(a) GRANTS.— 

12 ‘‘(1) IN GENERAL.—The Secretary, in coordina13 tion with the Director of the Centers for Disease 

14 Control and Prevention and the Assistant Secretary, 

15 shall award grants to State, county, local, or Indian 

16 tribe or tribal organizations (as such terms are de17 fined in section 4 of the Indian Self-Determination 

18 Act and Education Assistance Act) or nonprofit pri19 vate entities for demonstration projects to enable 

20 such entities to act as coordinating bodies to prevent 

21 or mitigate the impact of trauma and toxic stress in 

22 a community, or promote resilience by fostering pro23 tective factors. 

24 ‘‘(2) AMOUNT.—The Secretary shall award such 

25 grants in amounts of not more than $6,000,000. 


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1 ‘‘(3) DURATION.—The Secretary shall award 

2 such grants for periods of 4 years. 

3 ‘‘(b) ELIGIBLE ENTITIES.— 

4 ‘‘(1) IN GENERAL.—To be eligible to receive a 

5 grant under this section, an entity shall include 1 or 

6 more representatives from at least 5 of the cat7 egories described in paragraph (2). 

8 ‘‘(2) COMPOSITION.—The categories referred to 

9 in paragraph (1) are— 

10 ‘‘(A) governmental agencies, such as public 

11 health, mental health, human services, or child 

12 welfare agencies, that provide training related 

13 to covered services or conduct activities to 

14 screen, assess, provide services or referrals, pre15 vent, or provide treatment to support infants, 

16 children, youth, and their families as appro17 priate, that have experienced or are at risk of 

18 experiencing trauma; 

19 ‘‘(B) faculty or qualified staff at an insti20 tution of higher education (as defined in section 

21 101(a) of the Higher Education Act of 1965) 

22 or representatives of a local member of the Na23 tional Child Traumatic Stress Network, in an 

24 area related to screening, assessment, service 

25 provision or referral, prevention, or treatment 


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1 to support infants, children, youth, and their 

2 families, as appropriate, that have experienced 

3 or are at risk of experiencing trauma; 

4 ‘‘(C) hospitals, health care clinics, or other 

5 health care institutions, such as mental health 

6 and substance use disorder treatment facilities; 

7 ‘‘(D) criminal justice representatives re8 lated to adults and juveniles, which may include 

9 law enforcement or judicial or court employees; 

10 ‘‘(E) local educational agencies (as defined 

11 in section 8101 of the Elementary and Sec12 ondary Education Act of 1965 (20 U.S.C. 

13 7801)) or agencies responsible for early child14 hood education programs, which may include 

15 Head Start and Early Head Start agencies; 

16 ‘‘(F) workforce development, job training, 

17 or business associations; 

18 ‘‘(G) nonprofit, community-based faith, 

19 human services, civic, or social services organi20 zations, including participants in a national or 

21 community service program (as described in 

22 section 122 of the National and Community 

23 Service Act of 1990 (42 U.S.C. 12572)), pro24 viders of after-school programs, home visiting 

25 programs, family resource centers, agencies 


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1 that serve victims of domestic and family vio2 lence or child abuse, or programs to prevent or 

3 address the impact of violence and addiction; 

4 and 

5 ‘‘(H) the general public, including individ6 uals who have experienced trauma who can ap7 propriately represent populations and activities 

8 relevant to the community that will be served 

9 by the entity. 

10 ‘‘(3) QUALIFICATIONS.—In order for an entity 

11 to be eligible to receive the grant under this section, 

12 the representatives included in the entity shall, col13 lectively, have training and expertise concerning 

14 childhood trauma, resilience, and covered services. 

15 ‘‘(c) APPLICATION.—To be eligible to receive a grant 

16 under this section, an entity shall submit an application 

17 to the Secretary at such time, in such manner, and con18 taining such information as the Secretary may require. 

19 ‘‘(d) PRIORITY.—In awarding grants under this sec20 tion, the Secretary shall give priority to entities proposing 

21 to serve communities or populations that have faced or 

22 currently face high rates of community trauma, including 

23 from intergenerational poverty, civil unrest, discrimina24 tion, or oppression, which may include an evaluation of— 


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1 ‘‘(1) an age-adjusted rate of drug overdose 

2 deaths that is above the national overdose mortality 

3 rate, as determined by the Director of the Centers 

4 for Disease Control and Prevention; 

5 ‘‘(2) an age-adjusted rate of violence-related (or 

6 intentional) injury deaths that is above the national 

7 average, as determined by the Director of the Cen8 ters for Disease Control and Prevention; and 

9 ‘‘(3) a rate of involvement in the child welfare 

10 or juvenile justice systems that is above the national 

11 average, as determined by the Secretary. 

12 ‘‘(e) USE OF FUNDS.—An entity that receives a grant 

13 under this section to act as a coordinating body may use 

14 the grant funds to— 

15 ‘‘(1) bring together stakeholders who provide or 

16 use services in, or have expertise concerning, covered 

17 settings to identify community needs and resources 

18 related to covered services, and to build on any 

19 needs assessments conducted by organizations or 

20 groups represented on the coordinating body; 

21 ‘‘(2)(A) collect data, on indicators to reflect 

22 local priority issues, including across multiple cov23 ered settings and disaggregated by age, race, and 

24 any other appropriate metrics; and 


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1 ‘‘(B) use the data to identify unique community 

2 challenges and barriers, community strengths and 

3 assets, gaps in services, and high-need areas, related 

4 to covered services; 

5 ‘‘(3) build awareness, skills, and leadership (in6 cluding through trauma-informed and resilience-fo7 cused training and public outreach campaigns) on 

8 covered services in covered settings; 

9 ‘‘(4) develop a strategic plan, in partnership 

10 with members of the served community or popu11 lation, that identifies— 

12 ‘‘(A) policy goals and coordination oppor13 tunities to address community needs and local 

14 priority issues (including coordination in apply15 ing for or utilizing existing grants, insurance 

16 coverage, or other government programs), in17 cluding for communities of color and relating to 

18 delivering and implementing covered services; 

19 and 

20 ‘‘(B) a comprehensive, integrated approach 

21 for the entity and its members to prevent and 

22 mitigate the impact of exposure to trauma or 

23 toxic stress in the community, and to assist the 

24 community in healing from existing and prior 


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1 exposure to trauma through promotion of resil2 ience and fostering protective factors; 

3 ‘‘(5) implement such strategic plans in the local 

4 community, including through the delivery of covered 

5 services in covered settings; and 

6 ‘‘(6) identify funding sources and partner with 

7 community stakeholders to sustainably continue ac8 tivities after the end of the grant period. 

9 ‘‘(f) SUPPLEMENT NOT SUPPLANT.—Amounts made 

10 available under this section shall be used to supplement 

11 and not supplant other Federal, State, and local public 

12 funds and private funds expended to provide trauma-re13 lated coordination activities. 

14 ‘‘(g) EVALUATION.—At the end of the period for 

15 which grants are awarded under this section, the Sec16 retary shall conduct an evaluation of the activities carried 

17 out under each grant under this section. In conducting 

18 the evaluation, the Secretary shall assess the outcomes of 

19 the grant activities carried out by each grant recipient, 

20 including outcomes related to health, education, child wel21 fare, criminal justice involvement, or other measurable 

22 outcomes pertaining to wellbeing and societal impact. 

23 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 

24 is authorized to be appropriated to carry out this section 

25 $600,000,000 for each of fiscal years 2022 through 2029. 


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1 ‘‘(i) DEFINITIONS.—In this section: 

2 ‘‘(1) COVERED SERVICES.—The term ‘covered 

3 services’ means culturally responsive services, pro4 grams, models, or interventions that are evidence5 based, evidence-informed, or promising best prac6 tices to support infants, children, youth, and their 

7 families as appropriate by preventing or mitigating 

8 the impact of trauma and toxic stress or promoting 

9 resilience by fostering protective factors, which may 

10 include the best practices developed under section 

11 7132(d) of the SUPPORT for Patients and Commu12 nities Act (Public Law 115–271). 

13 ‘‘(2) COVERED SETTING.—The term ‘covered 

14 setting’ means the settings in which individuals may 

15 come into contact with infants, children, youth, and 

16 their families, as appropriate, who have experienced 

17 or are at risk of experiencing trauma, including 

18 schools, hospitals, settings where health care pro19 viders, including primary care and pediatric pro20 viders, provide services, early childhood education 

21 and care settings, home visiting settings, after-school 

22 program facilities, child welfare agency facilities, 

23 public health agency facilities, mental health treat24 ment facilities, substance use disorder treatment fa25 cilities, faith-based institutions, domestic violence 


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1 agencies, violence intervention organizations, child 

2 advocacy centers, homeless services system facilities, 

3 refugee services system facilities, juvenile justice sys4 tem facilities, law enforcement agency facilities, 

5 Healthy Marriage Promotion or Responsible Father6 hood service settings, child support service settings, 

7 and service settings focused on individuals eligible 

8 for Temporary Assistance for Needy Families; and’’. 

9 SEC. 102. EXPANSION OF PERFORMANCE PARTNERSHIP 

10 PILOT FOR CHILDREN WHO HAVE EXPERI11 ENCED OR ARE AT RISK OF EXPERIENCING 

12 TRAUMA. 

13 (a) IN GENERAL.—Section 526 of the Departments 

14 of Labor, Health and Human Services, and Education, 

15 and Related Agencies Appropriations Act, 2014 (42 

16 U.S.C. 12301 note ) is amended— 

17 (1) in subsection (a), by adding at the end the 

18 following: 

19 ‘‘(4) ‘To improve outcomes for infants, children, 

20 and youth, and their families as appropriate, who 

21 have experienced or are at risk of experiencing trau22 ma’ means to increase the rate at which individuals 

23 who have experienced or are at risk of experiencing 

24 trauma, including those who are low-income, home25 less, involved with the child welfare system, involved 


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1 in the juvenile justice system, have been victims of 

2 violence (including community, family, or sexual vio3 lence), unemployed, or not enrolled in or at risk of 

4 dropping out of an educational institution and live in 

5 a community that has faced acute or long-term expo6 sure to substantial discrimination, historical oppres7 sion, intergenerational poverty, civil unrest, a high 

8 rate of violence or drug overdose deaths, achieve suc9 cess in meeting educational, employment, health, de10 velopmental, community reentry, permanency from 

11 foster care, or other key goals.’’; 

12 (2) in subsection (b)— 

13 (A) in the subsection heading, by striking 

14 ‘‘FISCAL YEAR 2014’’ and inserting ‘‘FISCAL

15 YEARS 2022 THROUGH 2026’’; 

16 (B) by redesignating paragraphs (1) and 

17 (2) as subparagraphs (A) and (B), respectively, 

18 and by moving such subparagraphs, as so re19 designated, 2 ems to the right; 

20 (C) by striking ‘‘Federal agencies’’ and in21 serting the following: 

22 ‘‘(1) DISCONNECTED YOUTH PILOTS.—Federal 

23 agencies’’; and 

24 (D) by adding at the end the following: 


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1 ‘‘(2) TRAUMA-INFORMED CARE PILOTS.—Fed2 eral agencies may use Federal discretionary funds 

3 that are made available in this Act or any appropria4 tions Act, including across different or multiple 

5 years, for any of fiscal years 2022 through 2026 to 

6 carry out up to 10 Performance Partnership Pilots. 

7 Such Pilots shall— 

8 ‘‘(A) be designed to improve outcomes for 

9 infants, children, and youth, and their families 

10 as appropriate, who have experienced or are at 

11 risk of experiencing trauma; and 

12 ‘‘(B) involve Federal programs targeted on 

13 infants, children, and youth, and their families 

14 as appropriate, who have experienced or are at 

15 risk of experiencing trauma.’’; 

16 (3) in subsection (c)(2)— 

17 (A) in subparagraph (A), by striking 

18 ‘‘2018’’ and inserting ‘‘2025’’; and 

19 (B) in subparagraph (F), by inserting be20 fore the semicolon ‘‘, including the age range 

21 for such population’’; and 

22 (4) in subsection (e), by striking ‘‘2018’’ and 

23 inserting ‘‘2025’’. 

24 (b) REQUIREMENT.—Not later than 9 months after 

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1 fice of Management and Budget, working with the Attor2 ney General and the Secretary of Labor, Secretary of 

3 Health and Human Services, Secretary of Education, and 

4 Secretary of Housing and Urban Development, and any 

5 other appropriate agency representative, shall, with re6 spect to carrying out this section— 

7 (1) explore authorities to enable the issuance of 

8 appropriate start-up funding; 

9 (2) issue guidance documents, template waivers 

10 and performance measurements, best practices and 

11 lessons learned from prior pilot programs, rec12 ommendations for how to sustain projects after 

13 award periods, and other technical assistance docu14 ments as needed; and 

15 (3) align application timing periods to provide 

16 maximum flexibility, which may include the avail17 ability of initial planning periods for awardees. 

18 SEC. 103. HOSPITAL-BASED INTERVENTIONS TO REDUCE 

19 READMISSIONS. 

20 Section 393 of the Public Health Service Act (42 

21 U.S.C. 280b–1a) is amended by adding at the end the fol22 lowing: 

23 ‘‘(c) HOSPITAL-BASED INTERVENTIONS TO REDUCE

24 READMISSIONS.— 


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1 ‘‘(1) GRANTS.—The Secretary shall award 

2 grants to eligible entities to deliver and evaluate hos3 pital-based interventions to improve outcomes and 

4 reduce subsequent reinjury or readmissions of pa5 tients that present at a hospital after overdosing, at6 tempting suicide, or suffering violent injury or 

7 abuse. 

8 ‘‘(2) ELIGIBLE ENTITIES.—To be eligible to re9 ceive a grant under this subsection and entity 

10 shall— 

11 ‘‘(A) be a hospital or health system (in12 cluding health systems operated by Indian 

13 tribes or tribal organizations as such terms are 

14 defined in section 4 of the Indian Self-Deter15 mination Act and Education Assistance Act); 

16 and 

17 ‘‘(B) submit to the Secretary an applica18 tion at such time, in such manner, and con19 taining such information as the Secretary may 

20 require, which shall include demonstrated expe21 rience furnishing successful hospital-based trau22 ma interventions to improve outcomes and pre23 vent reinjury or readmission for patients pre24 senting after overdosing, attempting suicide, or 

25 suffering violent injury or abuse. 


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1 ‘‘(3) USE OF FUNDS.—An entity shall use 

2 amounts received under a grant under this sub3 section to deliver, test, and evaluate hospital-based 

4 trauma-informed interventions for patients who 

5 present at hospitals with drug overdoses, suicide at6 tempts, or violent injuries (such as domestic violence 

7 or intentional penetrating wounds, including gun8 shots and stabbings), or other presenting symptoms 

9 associated with exposure to trauma, violence, sub10 stance misuse, or suicidal ideation, to provide com11 prehensive education, screening, counseling, dis12 charge planning, skills building, and long-term case 

13 management services to such individuals, and their 

14 guardians or caregivers as appropriate, to prevent 

15 hospital readmission, injury, and improve health, 

16 wellness, and safety outcomes. Such interventions 

17 may be furnished in coordination or partnership 

18 with qualified community-based organizations and 

19 may include or incorporate the best practices devel20 oped under section 7132(d) of the SUPPORT for 

21 Patients and Communities Act (Public Law 115– 

22 271). 

23 ‘‘(4) QUALITY MEASURES.—An entity that re24 ceive a grant under this section shall submit to the 

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1 oped under the grant, including any quality meas2 ures developed, evaluated, and validated to prevent 

3 hospital readmissions for the patients served under 

4 the program involved. 

5 ‘‘(5) SUSTAINABLE COVERAGE.—The Secretary, 

6 acting through the Administrator of the Centers for 

7 Medicare & Medicaid Services, shall evaluate existing 

8 authorities, flexibilities, and policies and disseminate 

9 appropriate and relevant information to eligible enti10 ties on the opportunities for health insurance cov11 erage and reimbursement for the activities described 

12 in paragraph (3).’’. 

13 SEC. 104. TRAINING AND CERTIFICATION GUIDELINES FOR 

14 COMMUNITY FIGURES. 

15 (a) IN GENERAL.—Not later than one year after the 

16 date of enactment of this Act, the Secretary of Health and 

17 Human Services shall study and establish guidelines for 

18 use by States with respect to standards for training, cer19 tification, and partnership or supervision from licensed 

20 clinical professionals as appropriate, of community fig21 ures, including community mentors and trusted leaders, 

22 peers (including young adults and youth) with lived experi23 ences, faith-based leaders, coaches and arts program lead24 ers, and community paraprofessional providers such as 

25 out-of-school providers, to— 


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1 (1) educate and promote an understanding of 

2 trauma, toxic stress, and resilience; 

3 (2) promote resilience by fostering protective 

4 factors and providing peer support services; 

5 (3) provide case management services and pro6 mote linkages to community services; and 

7 (4) deliver appropriate, culturally responsive, 

8 and trauma-informed practices. 

9 (b) RECOMMENDATIONS.—Training and certification 

10 guidelines under subsection (a) shall include recommenda11 tions for experience, education, and supervision require12 ments for, and partnerships between, such trained and 

13 certified community figures and other health care pro14 viders such that the trained and certified community fig15 ures may be reimbursed through the State Medicaid plan 

16 under title XIX of the Social Security Act (42 U.S.C. 

17 1396 et seq.) for furnishing services to individuals enrolled 

18 in such plan. 


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1 TITLE II—WORKFORCE 

2 DEVELOPMENT 

3 SEC. 201. TRAINING AND RECRUITMENT OF INDIVIDUALS 

4 FROM COMMUNITIES THAT HAVE EXPERI5 ENCED HIGH LEVELS OF TRAUMA, VIOLENCE, 

6 OR ADDICTION. 

7 Part B of title VII of the Public Health Service Act 

8 (42 U.S.C. 293 et seq.) is amended by adding at the end 

9 the following: 

10 ‘‘SEC. 742. INDIVIDUALS FROM COMMUNITIES THAT HAVE 

11 EXPERIENCED HIGH LEVELS OF TRAUMA, VI12 OLENCE, OR ADDICTION. 

13 ‘‘In carrying out activities under this part, the Sec14 retary shall ensure that emphasis is provided on the re15 cruitment of individuals from communities that have expe16 rienced high levels of trauma, violence, or addiction and 

17 that appropriate activities under this part are carried out 

18 in partnership with community-based organizations that 

19 have expertise in addressing such challenges to enhance 

20 service delivery.’’. 

21 SEC. 202. FUNDING FOR THE NATIONAL HEALTH SERVICE 

22 CORPS. 

23 Section 10503(b)(2) of the Patient Protection and 

24 Affordable Care Act (42 U.S.C. 254b–2(b)(2)) is amend25 ed— 


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1 (1) in subparagraph (E), by striking ‘‘and’’ at 

2 the end; 

3 (2) in subparagraph (F), by striking the period 

4 and inserting ‘‘; and’’; and 

5 (3) by adding at the end the following: 

6 ‘‘(G) $360,000,000 for each of fiscal years 

7 2022 through 2026, of which $50,000,000 shall 

8 be allocated in each such fiscal year for awards 

9 to eligible individuals whose obligated service lo10 cations are in schools or community-based set11 tings as described in section 338N of the Public 

12 Health Service Act.’’. 

13 SEC. 203. INFANT AND EARLY CHILDHOOD CLINICAL WORK14 FORCE. 

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

16 (42 U.S.C. 280g) is amended by adding at the end the 

17 following: 

18 ‘‘SEC. 399V–7. INFANT AND EARLY CHILDHOOD CLINICAL 

19 WORKFORCE. 

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

21 the Associate Administrator of the Maternal and Child 

22 Health Bureau, shall establish an Infant and Early Child23 hood Mental Health Clinical Leadership Program to 

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1 work of training institutes for infant and early childhood 

2 clinical mental health. 

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

4 a grant under this section, an entity shall— 

5 ‘‘(1) be— 

6 ‘‘(A) an institution of higher education as 

7 defined in section 101(a) of the Higher Edu8 cation Act of 1965, including historically Black 

9 colleges and universities (as defined for pur10 poses of section 322 of the Higher Education 

11 Act of 1965 (20 U.S.C. 1061)), and Tribal col12 leges (as defined for purposes of section 316(b) 

13 of the Higher Education Act of 1965 (20 

14 U.S.C. 1059c)).; or 

15 ‘‘(B) be a hospital with affiliation with 

16 such an institution of higher education, or a 

17 State professional medical society or association 

18 of infant mental health demonstrating an affili19 ation or partnership with such an institution of 

20 higher education; and 

21 ‘‘(2) submit to the Secretary an application at 

22 such time, in such manner, and containing such in23 formation as the Secretary may require. 


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1 ‘‘(c) USE OF GRANT.—An entity shall use amounts 

2 received under a grant under this section to establish 

3 training institutes to— 

4 ‘‘(1) equip aspiring and current mental health 

5 professionals, including clinical social workers, pro6 fessional counselors, marriage and family therapists, 

7 clinical psychologists, child psychiatrists, school psy8 chologists, school counselors, school social workers, 

9 nurses, home visitors, community health workers, 

10 and developmental and behavioral pediatricians with 

11 specialization in infant and early childhood clinical 

12 mental health, and those pursuing certification or li13 censure in such professions; and 

14 ‘‘(2) emphasize equipping trainees with cul15 turally responsive skills in prevention, mental health 

16 consultation, screening, assessment, diagnosis, and 

17 treatment for infants and children, and their parents 

18 as appropriate, who have experienced or are at risk 

19 of experiencing trauma, including from intergenera20 tional poverty, civil unrest, discrimination, or oppres21 sion, exposure to violence or overdose, as well as pre22 vention of secondary trauma, through— 

23 ‘‘(A) the provision of community-based 

24 training and supervision in evidence-based as25 sessment, diagnosis, and treatment, which may 


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1 be conducted through partnership with qualified 

2 community-based organizations; 

3 ‘‘(B) the development of graduate edu4 cation training tracks; 

5 ‘‘(C) the provision of scholarships, sti6 pends, and trainee supports, including to en7 hance recruitment, retention, and career place8 ment of students from populations under-rep9 resented populations in the mental health work10 force; and 

11 ‘‘(D) the provision of mid-career training 

12 to develop the capacity of existing health practi13 tioners. 

14 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 

15 is authorized to be appropriated to carry out this section, 

16 $25,000,000 for each of fiscal years 2022 through 2026.’’. 

17 SEC. 204. TRAUMA-INFORMED TEACHING AND SCHOOL 

18 LEADERSHIP. 

19 (a) PARTNERSHIP GRANTS.—Section 202 of the 

20 Higher Education Act of 1965 (20 U.S.C. 1022a) is 

21 amended— 

22 (1) in subsection (b)(6)— 

23 (A) by redesignating subparagraphs (H) 

24 through (K) as subparagraphs (I) through (L), 

25 respectively; and 


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1 (B) by inserting after subparagraph (G) 

2 the following: 

3 ‘‘(H) how the partnership will prepare gen4 eral education and special education teachers, 

5 including early childhood educators, to support 

6 positive learning outcomes and social and emo7 tional development for students who have expe8 rienced trauma (including students who are in9 volved in the foster care or juvenile justice sys10 tems or runaway or homeless youth) and in al11 ternative education settings in which high popu12 lations of youth with trauma exposure may 

13 learn (including settings for correctional edu14 cation, juvenile justice, pregnant, expecting and 

15 parenting students, or youth who have re-en16 tered school after a period of absence due to 

17 dropping out);’’; 

18 (2) in subsection (d)(1)(A)(i)— 

19 (A) in subclause (II), by striking ‘‘and’’ 

20 after the semicolon; 

21 (B) by redesignating subclause (III) as 

22 subclause (IV); and 

23 (C) by inserting after subclause (II) the 

24 following: 


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1 ‘‘(III) such teachers, including 

2 early childhood educators, to adopt 

3 evidence-based approaches for improv4 ing behavior (such as positive behavior 

5 interventions and supports and restor6 ative justice practices), supporting so7 cial and emotional learning, miti8 gating the effects of trauma, improv9 ing the learning environment in the 

10 school, preventing secondary trauma, 

11 compassion fatigue, and burnout, and 

12 for alternatives to punitive discipline 

13 practices, including suspensions, ex14 pulsions, corporal punishment, refer15 rals to law enforcement, and other ac16 tions that remove students from the 

17 learning environment; and’’; and 

18 (3) in subsection (d), by adding at the end the 

19 following: 

20 ‘‘(7) TRAUMA-INFORMED AND RESILIENCE-FO21 CUSED PRACTICE AND WORK IN ALTERNATIVE EDU22 CATION SETTINGS.—Developing the teaching skills 

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1 ers to adopt evidence-based trauma-informed and re2 silience-focused teaching strategies— 

3 ‘‘(A) to— 

4 ‘‘(i) recognize the signs of trauma and 

5 its impact on learning; 

6 ‘‘(ii) maximize student engagement 

7 and promote the social and emotional de8 velopment of students; 

9 ‘‘(iii) implement alternative practices 

10 to suspension and expulsion that do not re11 move students from the learning environ12 ment; and 

13 ‘‘(iv) engage with other school per14 sonnel, including administrators and non15 teaching staff, to foster a shared under16 standing of the items described in clauses 

17 (i), (ii), and (iii); and 

18 ‘‘(B) including programs training teachers, 

19 including early childhood educators, to work 

20 with students with exposure to traumatic events 

21 (including students involved in the foster care 

22 or juvenile justice systems or runaway and 

23 homeless youth) and in alternative academic 

24 settings for youth unable to participate in a tra25 ditional public school program in which high 


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1 populations of students with trauma exposure 

2 may learn (such as students involved in the fos3 ter care or juvenile justice systems, pregnant 

4 and parenting students, runaway and homeless 

5 students, students exposed to family violence or 

6 trafficking, and other youth who have re-en7 tered school after a period of absence due to 

8 dropping out).’’. 

9 (b) ADMINISTRATIVE PROVISIONS.—Section 

10 203(b)(2) of the Higher Education Act of 1965 (20 

11 U.S.C. 1022b(b)(2)) is amended— 

12 (1) in subparagraph (A), by striking ‘‘and’’ 

13 after the semicolon; 

14 (2) in subparagraph (B), by striking the period 

15 at the end and inserting ‘‘; and’’; and 

16 (3) by adding at the end the following: 

17 ‘‘(C) to eligible partnerships that have a 

18 high-quality proposal for trauma-informed and 

19 resilience-focused training programs for general 

20 education and special education teachers, in21 cluding early childhood educators.’’. 

22 (c) GRANTS FOR THE DEVELOPMENT OF LEADER23 SHIP PROGRAMS.—Section 202(f)(1)(B) of the Higher 

24 Education Act of 1965 (20 U.S.C. 1022a(f)(1)(B)) is 

25 amended— 


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1 (1) in clause (v), by striking ‘‘and’’ at the end; 

2 (2) in clause (vi), by striking the period and in3 serting ‘‘; and’’; and 

4 (3) by adding at the end the following: 

5 ‘‘(vii) identify students who have expe6 rienced trauma and connect those students 

7 with appropriate school-based or commu8 nity-based interventions and services.’’. 

9 SEC. 205. TOOLS FOR FRONT-LINE PROVIDERS. 

10 Not later than 18 months after the date of enactment 

11 of this Act, the Secretary of Health and Human Services, 

12 in coordination with appropriate stakeholders with subject 

13 matter expertise which may include the National Child 

14 Traumatic Stress Network or other resource centers fund15 ed by the Department of Health and Human Services, 

16 shall carry out activities to develop accessible and easily 

17 understandable toolkits for use by front-line service pro18 viders (including teachers, early childhood educators, 

19 school and out-of-school program leaders, paraeducators 

20 and school support staff, home visitors, mentors, social 

21 workers, counselors, health care providers, child welfare 

22 agency staff, individuals in juvenile justice settings, faith 

23 leaders, first responders, kinship caregivers, domestic vio24 lence agencies, child advocacy centers, homeless services 

25 personnel, and youth development and community-based 


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1 organization personnel) for appropriately identifying, re2 sponding to, and supporting infants, children, and youth, 

3 and their families, as appropriate, who have experienced 

4 or are at risk of experiencing trauma or toxic stress. Such 

5 toolkits shall incorporate best practices developed under 

6 section 7132(d) of the SUPPORT for Patients and Com7 munities Act (Public Law 115–271), and include actions 

8 to build a safe, stable, and nurturing environment for the 

9 infants, children, and youth served in those settings, ca10 pacity building, and strategies for addressing the impact 

11 of secondary trauma, compassion fatigue, and burnout 

12 among such front-line service providers and other care13 givers. 

14 SEC. 206. CHILDREN EXPOSED TO VIOLENCE INITIATIVE. 

15 Title I of the Omnibus Crime Control and Safe 

16 Streets Act of 1968 (34 U.S.C. 10101) is amended by 

17 adding at the end the following: 

18 ‘‘PART OO—CHILDREN EXPOSED TO VIOLENCE 

19 AND ADDICTION INITIATIVE 

20 ‘‘SEC. 3051. GRANTS TO SUPPORT CHILDREN EXPOSED TO 

21 VIOLENCE AND SUBSTANCE USE. 

22 ‘‘(a) IN GENERAL.—The Attorney General may make 

23 grants to States, units of local government, Indian tribes 

24 and tribal organizations (as such terms are defined in sec25 tion 4 of the Indian Self-Determination Act and EduVerDate Sep 11 2014 00:42 Jul 03, 2021 Jkt 019200 PO 00000 Frm 00028 Fmt 6652 Sfmt 6201 E:\BILLS\S2086.IS S2086

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1 cation Assistance Act), and nonprofit organizations to re2 duce violence and substance use by preventing children’s 

3 trauma from exposure to violence or substance use and 

4 supporting infants, children, and youth, and their families, 

5 who have been harmed by violence, trauma, or substance 

6 use to heal. 

7 ‘‘(b) USE OF FUNDS.— 

8 ‘‘(1) IN GENERAL.—A grant under subsection 

9 (a) may be used to implement trauma-informed poli10 cies and practices that support infants, children, 

11 youth, and their families, as appropriate, by— 

12 ‘‘(A) building public awareness and edu13 cation about the importance of addressing 

14 childhood trauma as a means to reduce violence 

15 and substance use and improve educational, 

16 economic, developmental, and societal outcomes 

17 for infants, children, and youth; 

18 ‘‘(B) providing training, tools, and re19 sources to develop the skills and capacity of 

20 parents (including foster parents), adult guard21 ians, and professionals who interact directly 

22 with infants, children, and youth, in an orga23 nized or professional setting, to reduce the im24 pact of trauma, grief, and exposure to violence 

25 on children, including through the best pracVerDate Sep 11 2014 00:42 Jul 03, 2021 Jkt 019200 PO 00000 Frm 00029 Fmt 6652 Sfmt 6201 E:\BILLS\S2086.IS S2086

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1 tices developed under section 7132(d) of the 

2 SUPPORT for Patients and Communities Act 

3 (Public Law 115–271); and 

4 ‘‘(C) supporting community collaborations 

5 and providing technical assistance to commu6 nities, organizations, and public agencies on 

7 how they can coordinate to prevent and miti8 gate the impact of trauma from exposure to vio9 lence and substance use on children in their 

10 homes, schools, and communities. 

11 ‘‘(2) PRIORITY.—Priority in awarding grants 

12 under this section shall be given to communities that 

13 seek to address multiple types of violence and serve 

14 children who have experienced poly-victimization. 

15 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 

16 are authorized to be appropriated to carry out this section 

17 $11,000,000 for each of fiscal years 2022 through 2026.’’. 

18 SEC. 207. ESTABLISHMENT OF LAW ENFORCEMENT CHILD 

19 AND YOUTH TRAUMA COORDINATING CEN20 TER. 

21 (a) ESTABLISHMENT OF CENTER.— 

22 (1) IN GENERAL.—The Attorney General, in co23 ordination with the Civil Rights Division, shall es24 tablish a National Law Enforcement Child and 

25 Youth Trauma Coordinating Center (referred to in 


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1 this section as the ‘‘Center’’) to provide assistance to 

2 adult- and juvenile-serving State, local, and tribal 

3 law enforcement agencies (including those operated 

4 by Indian tribes and tribal organizations as such 

5 terms are defined in section 4 of the Indian Self-De6 termination Act and Education Assistance Act) in 

7 interacting with infants, children, and youth who 

8 have been exposed to violence or other trauma, and 

9 their families as appropriate. 

10 (2) AGE RANGE.—The Center shall determine 

11 the age range of infants, children, and youth to be 

12 covered by the activities of the Center. 

13 (b) DUTIES.—The Center shall provide assistance to 

14 adult- and juvenile-serving State, local, and tribal law en15 forcement agencies by— 

16 (1) disseminating information on the best prac17 tices for law enforcement officers, which may include 

18 best practices based on evidence-based and evidence19 informed models from programs of the Department 

20 of Justice and the Office of Justice Services of the 

21 Bureau of Indian Affairs or the best practices devel22 oped under section 7132(d) of the SUPPORT for 

23 Patients and Communities Act (Public Law 115– 

24 271), such as— 


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1 (A) models developed in partnership with 

2 national law enforcement organizations, Indian 

3 tribes, or clinical researchers; and 

4 (B) models that include— 

5 (i) trauma-informed approaches to 

6 conflict resolution, information gathering, 

7 forensic interviewing, de-escalation, and 

8 crisis intervention training; 

9 (ii) early interventions that link child 

10 and youth witnesses and victims, and their 

11 families as appropriate, to age-appropriate 

12 trauma-informed services; and 

13 (iii) preventing and supporting offi14 cers who experience secondary trauma; 

15 (2) providing professional training and technical 

16 assistance; and 

17 (3) awarding grants under subsection (c). 

18 (c) GRANT PROGRAM.— 

19 (1) IN GENERAL.—The Attorney General, act20 ing through the Center, may award grants to State, 

21 local, and tribal law enforcement agencies or to 

22 multi-disciplinary consortia to— 

23 (A) enhance the awareness of best prac24 tices for trauma-informed responses to infants, 

25 children, and youth who have been exposed to 


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1 violence or other trauma, and their families as 

2 appropriate; and 

3 (B) provide professional training and tech4 nical assistance in implementing the best prac5 tices described in subparagraph (A). 

6 (2) APPLICATION.—Any State, local, or tribal 

7 law enforcement agency seeking a grant under this 

8 subsection shall submit an application to the Attor9 ney General at such time, in such manner, and con10 taining such information as the Attorney General 

11 may require. 

12 (3) USE OF FUNDS.—A grant awarded under 

13 this subsection may be used to— 

14 (A) provide training to law enforcement of15 ficers on best practices, including how to iden16 tify and appropriately respond to early signs of 

17 trauma and violence exposure when interacting 

18 with infants, children, and youth, and their 

19 families, as appropriate; and 

20 (B) establish, operate, and evaluate a re21 ferral and partnership program with trauma-in22 formed clinical mental health, substance use, 

23 health care, or social service professionals in the 

24 community in which the law enforcement agen25 cy serves. 


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1 (d) AUTHORIZATION OF APPROPRIATIONS.—There 

2 are authorized to be appropriated to the Attorney Gen3 eral— 

4 (1) $6,000,000 for each of fiscal years 2022 

5 through 2026 to award grants under subsection (c); 

6 and 

7 (2) $2,000,000 for each of fiscal years 2022 

8 through 2026 for other activities of the Center. 

Æ 


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