I 

116TH CONGRESS 

1ST SESSION H. R. 3180 

To improve the identification and support of children and families who 

experience trauma. 

IN THE HOUSE OF REPRESENTATIVES 

JUNE 10, 2019 

Mr. DANNY K. DAVIS of Illinois (for himself and Mr. GALLAGHER) introduced 

the following bill; which was referred to the Committee on Education and 

Labor, and in addition to the Committees on Energy and Commerce, and 

the Judiciary, for a period to be subsequently determined by the Speaker, 

in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 

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-RELATED COORDINATING BODIES. 

4 Title V of the Public Health Service Act is amended 

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

6 following: 

7 ‘‘SEC. 520B. TRAUMA-RELATED COORDINATING BODIES TO 

8 ADDRESS COMMUNITY TRAUMA. 

9 ‘‘(a) GRANTS.— 

10 ‘‘(1) IN GENERAL.—The Secretary, acting 

11 through the Assistant Secretary, shall award grants 

12 to State, county, local, or Indian tribe or tribal orga13 nizations (as such terms are defined in section 4 of 

14 the Indian Self-Determination Act and Education 

15 Assistance Act) or nonprofit private entities for dem16 onstration projects to enable such entities to act as 

17 coordinating bodies to address community trauma. 

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

19 grants in amounts of not more than $4,000,000. 

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

21 such grants for periods of 4 years. 

22 ‘‘(b) ELIGIBLE ENTITIES.— 

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

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


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1 more representatives of each of the categories de2 scribed in paragraph (2). 

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

4 in paragraph (1) are— 

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

6 health, human services, or child welfare agen7 cies, that conduct activities to screen, assess, 

8 provide services or referrals, prevent, or provide 

9 treatment to support infants, children, youth, 

10 and their families as appropriate, that have ex11 perienced or are at risk of experiencing trauma; 

12 ‘‘(B) faculty or qualified staff at an insti13 tution of higher education (as defined in section 

14 101(a) of the Higher Education Act of 1965) 

15 or representatives of a member of the National 

16 Child Traumatic Stress Network, in an area re17 lated to screening, assessment, service provision 

18 or referral, prevention, or treatment to support 

19 infants, children, youth, and their families, as 

20 appropriate, that have experienced or are at 

21 risk of experiencing trauma; 

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

23 health care institutions, such as mental health 

24 and substance use treatment facilities; 


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1 ‘‘(D) the criminal justice system with re2 spect to adults and juveniles, which may include 

3 law enforcement, judicial, or court employees; 

4 ‘‘(E) local educational agencies or agencies 

5 responsible for early childhood education pro6 grams, which may include Head Start and 

7 Early Head Start agencies; 

8 ‘‘(F) community-based faith, human serv9 ices, or social services organizations, including 

10 providers of after-school programs, home vis11 iting programs, agencies that serve victims of 

12 domestic and family violence and child sexual 

13 abuse, or programs to prevent or address the 

14 impact of violence and addiction; and 

15 ‘‘(G) the general public, including individ16 uals who have experienced trauma. 

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

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

19 the representatives included in the entity shall, col20 lectively, have professional training and expertise 

21 concerning childhood trauma and evidence-based, 

22 evidence-informed, and promising best practices to 

23 prevent and mitigate the impact of exposure to trau24 ma. 


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

2 under this section, an entity shall submit an application 

3 to the Secretary at such time, in such manner, and con4 taining such information as the Secretary may require, in5 cluding information describing how the coordinating body 

6 funded under the grant will continue its activities after 

7 the end of the grant period. 

8 ‘‘(d) PRIORITY.—In awarding grants under this sec9 tion, the Secretary shall give priority to entities proposing 

10 to serve communities that have faced high rates of commu11 nity trauma, including from intergenerational poverty, 

12 civil unrest, discrimination, or oppression, which may in13 clude an evaluation of— 

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

15 deaths that is above the national overdose mortality 

16 rate, as determined by the Director of the Centers 

17 for Disease Control and Prevention; and 

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

19 intentional) injury deaths that is above the national 

20 average, as determined by the Director of the Cen21 ters for Disease Control and Prevention. 

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

23 under this section to act as a coordinating body shall use 

24 the grant funds— 


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1 ‘‘(1) to bring together stakeholders who provide 

2 or use services in, or have expertise concerning, cov3 ered settings to identify community needs and re4 sources related to services to prevent or address the 

5 impact of trauma, and to build on any needs assess6 ments conducted by organizations or groups rep7 resented on the coordinating body; 

8 ‘‘(2)(A) to collect data, on indicators specified 

9 by the Secretary, that covers multiple covered set10 tings; and 

11 ‘‘(B) to use the data to identify unique commu12 nity challenges and barriers, gaps in services, and 

13 high-need areas, related to services to prevent or ad14 dress the impact of trauma; 

15 ‘‘(3) to build awareness, skills, and leadership 

16 (including through culturally sensitive, trauma-in17 formed training and public outreach campaigns) re18 lated to implementing the best practices developed 

19 under section 7132(d) of the SUPPORT for Pa20 tients and Communities Act (Public Law 115–271) 

21 (referred to in this subsection as the ‘developed best 

22 practices’); and 

23 ‘‘(4) to develop a strategic plan that identi24 fies— 


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1 ‘‘(A) policy goals and coordination oppor2 tunities (including coordination in applying for 

3 grants) relating to implementing the developed 

4 best practices; and 

5 ‘‘(B) a comprehensive, integrated approach 

6 for the entity and its members to prevent and 

7 mitigate the impact of exposure to trauma in 

8 the community, and to assist the community in 

9 healing from existing and prior exposure to 

10 trauma. 

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

12 available under this section shall be used to supplement 

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

14 funds and private funds expended to provide trauma-re15 lated coordination activities. 

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

17 which grants are awarded under this section, the Sec18 retary shall conduct an evaluation of the activities carried 

19 out under each grant under this section. In conducting 

20 the evaluation, the Secretary shall assess the outcomes of 

21 the grant activities carried out by each grant recipient. 

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

23 is authorized to be appropriated to carry out this section 

24 $50,000,000 for the period of fiscal years 2020 through 

25 2023. 


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1 ‘‘(i) DEFINITION.—In this section, the term ‘covered 

2 setting’ means the settings in which individuals may come 

3 into contact with infants, children, youth, and their fami4 lies, as appropriate, who have experienced or are at risk 

5 of experiencing trauma, including schools, hospitals, set6 tings where health care providers, including primary care 

7 and pediatric providers, provide services, early childhood 

8 education and care settings, home visiting settings, after9 school program facilities, child welfare agency facilities, 

10 public health agency facilities, mental health treatment fa11 cilities, substance use treatment facilities, faith-based in12 stitutions, domestic violence agencies, child advocacy cen13 ters, homeless services system facilities, refugee services 

14 system facilities, juvenile justice system facilities, law en15 forcement agency facilities, Healthy Marriage Promotion 

16 or Responsible Fatherhood service settings, child support 

17 service settings, and service settings focused on individuals 

18 eligible for assistance under the temporary assistance for 

19 needy families program funded under part A of title IV 

20 of the Social Security Act.’’. 


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1 SEC. 102. EXPANSION OF PERFORMANCE PARTNERSHIP 

2 PILOT FOR CHILDREN WHO HAVE EXPERI3 ENCED OR ARE AT RISK OF EXPERIENCING 

4 TRAUMA. 

5 Section 526 of the Departments of Labor, Health and 

6 Human Services, and Education, and Related Agencies 

7 Appropriations Act, 2014 (42 U.S.C. 12301 note) is 

8 amended— 

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

10 following: 

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

12 and youth, and their families as appropriate, who 

13 have experienced or are at risk of experiencing trau14 ma’ means to increase the rate at which individuals 

15 who have experienced or are at risk of experiencing 

16 trauma, including those who are low-income, home17 less, involved with the child welfare system, involved 

18 in the juvenile justice system, unemployed, or not 

19 enrolled in or at risk of dropping out of an edu20 cational institution and live in a community that has 

21 faced acute or long-term exposure to substantial dis22 crimination, historical oppression, intergenerational 

23 poverty, civil unrest, a high rate of violence or drug 

24 overdose deaths, achieve success in meeting edu25 cational, employment, health, developmental, comVerDate Sep 11 2014 21:33 Jun 13, 2019 Jkt 089200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H3180.IH H3180

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1 munity reentry, permanency from foster care, or 

2 other key goals.’’; 

3 (2) in subsection (b)— 

4 (A) in the subsection heading, by striking 

5 ‘‘FISCAL YEAR 2014’’ and inserting ‘‘FISCAL

6 YEARS 2020 THROUGH 2024’’; 

7 (B) by redesignating paragraphs (1) and 

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

9 and by moving such subparagraphs, as so re10 designated, 2 ems to the right; 

11 (C) by striking ‘‘Federal agencies’’ and in12 serting the following: 

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

14 agencies’’; and 

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

16 ‘‘(2) TRAUMA-INFORMED CARE PILOTS.— 

17 ‘‘(A) IN GENERAL.—Federal agencies may 

18 use Federal discretionary funds that are made 

19 available in this Act or any appropriations Act 

20 for any of fiscal years 2020 through 2024 to 

21 carry out up to 10 Performance Partnership Pi22 lots. Such Pilots shall— 

23 ‘‘(i) be designed to improve outcomes 

24 for infants, children, and youth, and their 

25 families as appropriate, who have experiVerDate Sep 11 2014 21:33 Jun 13, 2019 Jkt 089200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H3180.IH H3180

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1 enced or are at risk of experiencing trau2 ma; and 

3 ‘‘(ii) involve Federal programs tar4 geted on infants, children, and youth, and 

5 their families as appropriate, who have ex6 perienced or are at risk of experiencing 

7 trauma. 

8 ‘‘(B) PRIORITY.—In making funds avail9 able under this paragraph, a Federal agency 

10 shall give priority to entities that receive grants 

11 under section 520B of the Public Health Serv12 ice Act.’’; 

13 (3) in subsection (c)(2)— 

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

15 ‘‘2018’’ and inserting ‘‘2023’’; and 

16 (B) in subparagraph (F), by inserting be17 fore the semicolon ‘‘, including the age range 

18 for such population’’; and 

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

20 inserting ‘‘2023’’. 

21 SEC. 103. NATIONAL AND COMMUNITY SERVICE. 

22 (a) SERVICE-LEARNING.—Section 113(a)(2) of the 

23 National and Community Service Act of 1990 (42 U.S.C. 

24 12525(a)(2)) is amended— 


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

2 the end; 

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

4 and inserting ‘‘, and’’; and 

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

6 ‘‘(E) information describing how the appli7 cant will give priority, in reviewing applications 

8 under subsection (b), to entities that propose 

9 service-learning programs in communities with 

10 high levels of trauma (as defined in section 

11 520B of the Public Health Service Act).’’. 

12 (b) AMERICORPS RECRUITMENT.—Section 130(b)(5) 

13 of the National and Community Service Act of 1990 (42 

14 U.S.C. 12582(b)(5)) is amended by inserting after ‘‘and 

15 women,’’ the following: ‘‘and to give priority (to the max16 imum extent practicable) to recruitment of participants 

17 from communities with high levels of trauma (as defined 

18 in section 520B of the Public Health Service Act),’’. 

19 (c) AMERICORPS STATE PROGRAMS.—Section 130(c) 

20 of the National and Community Service Act of 1990 (42 

21 U.S.C. 12582(c)) is amended by adding at the end the 

22 following: 

23 ‘‘(4) In the case of a State or territory de24 scribed in section 129(e), an assurance that the 

25 State or territory, in distributing grant funds made 


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1 available under that section, will give priority to en2 tities proposing national service programs that are 

3 related to the provision of trauma-informed services 

4 in communities with high levels of trauma (as de5 fined in section 520B of the Public Health Service 

6 Act).’’. 

7 (d) AMERICORPS COMPETITIVE PROGRAMS.—Section 

8 133(d)(2) of the National and Community Service Act of 

9 1990 (42 U.S.C. 12585(d)(2)) is amended— 

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

11 the end; 

12 (2) in subparagraph (C), by striking the period 

13 and inserting ‘‘; and’’; and 

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

15 ‘‘(D) national service programs that are re16 lated to the provision of trauma-informed serv17 ices in communities with high levels of trauma 

18 (as defined in section 520B of the Public 

19 Health Service Act).’’. 

20 SEC. 104. HOSPITAL-BASED INTERVENTIONS TO REDUCE 

21 READMISSIONS. 

22 Section 911 of the Public Health Service Act (42 

23 U.S.C. 299b) is amended by adding at the end the fol24 lowing: 


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

2 READMISSIONS.— 

3 ‘‘(1) GRANTS.—The Secretary, acting through 

4 the Director of the Agency, shall award grants to el5 igible entities to evaluate hospital-based interven6 tions to reduce subsequent readmissions of patients 

7 that present at a hospital after overdosing, attempt8 ing suicide, or suffering violent injury or abuse. 

9 ‘‘(2) ELIGIBLE ENTITIES.—To be eligible to re10 ceive a grant under this subsection and entity 

11 shall— 

12 ‘‘(A) be a hospital or health system (in13 cluding health systems operated by Indian 

14 tribes or tribal organizations as such terms are 

15 defined in section 4 of the Indian Self-Deter16 mination Act and Education Assistance Act); 

17 and 

18 ‘‘(B) submit to the Secretary an applica19 tion at such time, in such manner, and con20 taining such information as the Secretary may 

21 require, which shall include demonstrated expe22 rience furnishing successful hospital-based, cul23 turally sensitive, trauma interventions to im24 prove outcomes for patients presenting after 


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1 overdosing, attempting suicide, or suffering vio2 lent injury or abuse. 

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

4 amounts received under a grant under this sub5 section to test and evaluate hospital-based trauma6 informed interventions for patients who present at 

7 hospitals with drug overdoses, suicide attempts, and 

8 violent injuries (such as domestic violence or inten9 tional penetrating wounds, including gunshots and 

10 stabbings) to provide comprehensive education, 

11 screening, counseling, discharge planning, skills 

12 building, and long-term case management services to 

13 prevent hospital readmission, injury, and improve 

14 health and safety outcomes. Such interventions may 

15 be furnished in coordination or partnership with 

16 qualified community-based organizations and may 

17 include or incorporate the best practices developed 

18 under section 7132(d) of the SUPPORT for Pa19 tients and Communities Act (Public Law 115–271). 

20 ‘‘(4) QUALITY MEASURES.—An entity that re21 ceive a grant under this section shall submit to the 

22 Secretary a report on the data and outcomes devel23 oped under the grant, including any quality meas24 ures developed to prevent hospital readmissions for 

25 the patients served under the program involved.’’. 


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1 SEC. 105. SUPPORTING AT-RISK AND TRAUMA-EXPOSED 

2 STUDENTS WITH ARTS OPPORTUNITIES. 

3 Section 5(c) of the National Foundation on the Arts 

4 and Humanities Act of 1965 (20 U.S.C. 954(c)) is amend5 ed— 

6 (1) in paragraph (9), by striking ‘‘and’’ at the 

7 end; 

8 (2) in paragraph (10), by striking the period 

9 and inserting ‘‘; and’’; and 

10 (3) by inserting after paragraph (10), the fol11 lowing: 

12 ‘‘(11) projects, programs, and workshops that 

13 provide therapy and creative expression opportuni14 ties through the arts for children, and their families 

15 as appropriate, who have experienced or are at risk 

16 of experiencing trauma.’’. 

17 SEC. 106. ENSURING PARITY FOR INFANT, EARLY CHILD18 HOOD, AND YOUTH MENTAL HEALTH. 

19 Part K of title V of the Public Health Service Act 

20 (42 U.S.C. 290ll et seq.) is amended— 

21 (1) by redesignating section 550 (42 U.S.C. 

22 290ee–10), relating to sobriety treatment and recov23 ery teams, as section 598; and 

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


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1 ‘‘SEC. 599. INFANT AND EARLY CHILDHOOD MENTAL 

2 HEALTH PARITY. 

3 ‘‘(a) IN GENERAL.—The Secretary, in coordination 

4 with the Secretary of Labor and the Secretary of Edu5 cation, shall award grants to, or enter into cooperative 

6 agreements with, States to ensure that health insurance 

7 issuers in the State comply with section 2726, as such sec8 tion applies to infant and early childhood mental and be9 havioral health. 

10 ‘‘(b) USE OF GRANT.—A State shall use amounts re11 ceived under a grant or cooperative agreement under this 

12 section to— 

13 ‘‘(1) establish clear guidelines for parity compli14 ance for infant and early childhood mental health 

15 that are evidence-based; 

16 ‘‘(2) align parity compliance with best practices 

17 for meeting an infant’s Individualized Family Serv18 ice Plan under part C of the Individuals with Dis19 abilities Education Act or a preschool aged child’s 

20 Individualized Education Plan under part B of such 

21 Act, as well as providing Coordinated Early Inter22 vening Services under part B of such Act to pre23 school aged children; 

24 ‘‘(3) engage with health insurance issuers to en25 sure that they comply with the guidelines promul26 gated and other provisions of section 2726, as such 


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1 section applies to infant and early childhood mental 

2 health; 

3 ‘‘(4) ensure health insurance issuer compliance 

4 through audits, market conduct examinations, secret 

5 shopper programs, or other means; 

6 ‘‘(5) share learnings with other States who re7 ceive grants under this section; and 

8 ‘‘(6) submit a report to the Secretary, the Sec9 retary of Labor, and the Secretary of Education, on 

10 findings, actions, recommendations, and any such 

11 other information as such Secretaries shall require. 

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

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

14 $10,000,000 for each of fiscal years 2020 through 2024.’’. 

15 SEC. 107. STREAMLINING AND COORDINATING TRAUMA 

16 GRANT FUNDING. 

17 Not later than 2 years after the date of enactment 

18 of this Act, the Director of the Office of Management and 

19 Budget, in coordination with the Task Force created 

20 under section 7132 of the SUPPORT for Patients and 

21 Communities Act (Public Law 115–271), shall review the 

22 Federal grant programs and funding streams with rel23 evance or potential to furnish the best practices developed 

24 under section 7132(d) of such Act for preventing and mitiVerDate Sep 11 2014 21:33 Jun 13, 2019 Jkt 089200 PO 00000 Frm 00018 Fmt 6652 Sfmt 6201 E:\BILLS\H3180.IH H3180

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1 gating the impact of trauma, and issue guidance to agen2 cies on the following: 

3 (1) Aligning measurement, reporting, and 

4 timelines for Federal funds used to address commu5 nity trauma. 

6 (2) Leveraging different Federal funding 

7 streams to enable effective data sharing, integration, 

8 and privacy to support coordination for addressing 

9 community trauma. 

10 (3) Consistency in eligibility requirements and 

11 enrollment pathways for Federal funding to facili12 tate strategies for addressing community trauma. 

13 (4) Support for community-level planning ac14 tivities that advance the overall policy goals of each 

15 Federal funding stream. 

16 (5) Modeling the long-term budgetary benefits 

17 of preventing or mitigating community trauma. 

18 (6) Including trauma impact statements within 

19 relevant grants focused on serving children and fam20 ilies. 

21 SEC. 108. MEASURING SAVINGS FROM TRAUMA-INFORMED 

22 INTERVENTIONS. 

23 (a) IDENTIFICATION OF EFFECTIVE INTERVEN24 TIONS.—The Secretary of Health and Human Services, 

25 acting through the Assistant Secretary for Planning and 


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1 Evaluation, and in coordination with the Attorney Gen2 eral, the Secretary of Education, and the Secretary of 

3 Labor, shall conduct a review and analysis of the best 

4 practices developed under section 7132(d) of the SUP5 PORT for Patients and Communities Act (Public Law 

6 115–271) (referred to in this section as the ‘‘developed 

7 best practices’’) that can be furnished through a Federal 

8 grant or health insurance program to prevent and mitigate 

9 the impact of trauma among infants, children, and youth, 

10 and their families, as appropriate, and identify those prac11 tices which hold the most promise to reduce long-term 

12 costs and spending associated with children, including 

13 health care and child welfare costs. 

14 (b) CONDUCT OF REVIEW.—In conducting the review 

15 and analysis under subsection (a), the Assistant Secretary 

16 may— 

17 (1) solicit public input on the review design, 

18 findings, and conclusions; and 

19 (2) examine methods for evaluating whether the 

20 developed best practices were effectively implemented 

21 and the predicted outcomes and savings are likely to 

22 be achieved, which may include competency and test23 ing approaches, and performance or outcome meas24 ures. 


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1 (c) UPDATES.—The set of best practices identified 

2 under subsection (a) as holding promise to reduce costs 

3 shall be updated at regular intervals. 

4 (d) EVALUATING LONG-TERM SAVINGS ASSOCIATED

5 WITH THE INTERVENTIONS.—The Director of the Office 

6 of Management and Budget shall analyze, determine, and 

7 publicly report the cost-savings across the Federal budget 

8 over 20 years, including an appropriate discount rate, as9 sociated with the effective implementation of the interven10 tions identified in subsection (a), when applied in a rep11 resentative population of children participating in all such 

12 appropriate Federal grant or health insurance programs 

13 in a given year, and update these determinations at least 

14 every 5 years. 

15 TITLE II—WORKFORCE 

16 DEVELOPMENT 

17 SEC. 201. DIVERSITY TRAINING FOR INDIVIDUALS FROM 

18 COMMUNITIES THAT HAVE EXPERIENCED 

19 HIGH LEVELS OF TRAUMA, VIOLENCE, OR AD20 DICTION. 

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

22 (42 U.S.C. 293 et seq.) is amended by adding at the end 

23 the following: 


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

2 EXPERIENCED HIGH LEVELS OF TRAUMA, VI3 OLENCE, OR ADDICTION. 

4 ‘‘In carrying out activities under this part, the Sec5 retary shall ensure that emphasis is provided on the re6 cruitment of individuals from communities that have expe7 rienced high levels of trauma, violence, or addiction and 

8 that appropriate and culturally sensitive activities under 

9 this part are carried out in partnership with community10 based organizations that have expertise in addressing such 

11 challenges to enhance service delivery.’’. 

12 SEC. 202. FUNDING FOR THE NATIONAL HEALTH SERVICE 

13 CORPS. 

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

15 Affordable Care Act (42 U.S.C. 254b–2(b)(2)) is amend16 ed— 

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

18 the end; 

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

20 and inserting ‘‘; and’’; and 

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

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

23 2020 through 2024.’’. 


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1 SEC. 203. INFANT AND EARLY CHILDHOOD CLINICAL WORK2 FORCE. 

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

4 (42 U.S.C. 280g) is amended by adding at the end the 

5 following: 

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

7 WORKFORCE. 

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

9 the Associate Administrator of the Maternal and Child 

10 Health Bureau, shall establish an Infant and Early Child11 hood Clinical Mental Health Leadership Program to 

12 award grants to eligible entities to establish training insti13 tutes and centers of excellence for infant and early child14 hood clinical mental health. 

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

16 a grant under this section, an entity shall— 

17 ‘‘(1) be— 

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

19 defined in section 101(a) of the Higher Edu20 cation Act of 1965; or 

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

22 such an institution of higher education, or a 

23 State professional medical society or association 

24 of infant mental health demonstrating an affili25 ation or partnership with such an institution of 

26 higher education; and 


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

2 such time, in such manner, and containing such in3 formation as the Secretary may require. 

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

5 received under a grant under this section to establish 

6 statewide training institutes or centers of excellence for 

7 licensed clinical social workers, licensed professional coun8 selors, licensed marriage and family therapists, clinical 

9 psychologists, child psychiatrists, school psychologists, 

10 nurses, and developmental and behavioral pediatricians on 

11 infant and early childhood clinical mental health, with an 

12 emphasis on screening, assessment, service provision or re13 ferral, prevention, and treatment for infants and children 

14 who have experienced or are at risk of experiencing trau15 ma, as well as prevention of secondary trauma, through— 

16 ‘‘(1) the provision of community-based and cul17 turally sensitive training and supervision in evi18 dence-based assessment, diagnosis, and treatment, 

19 which may be conducted through partnership with 

20 qualified community-based organizations; 

21 ‘‘(2) the development of graduate education 

22 training tracks; 

23 ‘‘(3) the provision of scholarships and stipends, 

24 including to enhance recruitment from under-repVerDate Sep 11 2014 21:33 Jun 13, 2019 Jkt 089200 PO 00000 Frm 00024 Fmt 6652 Sfmt 6201 E:\BILLS\H3180.IH H3180

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1 resented populations in the mental health workforce; 

2 and 

3 ‘‘(4) the provision of mid-career training to de4 velop the capacity of existing health practitioners. 

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

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

7 $25,000,000 for each of fiscal years 2020 through 2024.’’. 

8 SEC. 204. TRAUMA-INFORMED TEACHING AND SCHOOL 

9 LEADERSHIP. 

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

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

12 amended— 

13 (1) in subsection (b)(6)— 

14 (A) by redesignating subparagraphs (H) 

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

16 respectively; and 

17 (B) by inserting after subparagraph (G) 

18 the following: 

19 ‘‘(H) how the partnership will prepare gen20 eral education and special education teachers, 

21 including early childhood educators, to support 

22 culturally sensitive positive learning outcomes 

23 and social and emotional development for stu24 dents who have experienced trauma (including 

25 students who are involved in the foster care or 


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1 juvenile justice systems or runaway or homeless 

2 youth) and in alternative education settings in 

3 which high populations of youth with trauma 

4 exposure may learn (including settings for cor5 rectional education, juvenile justice, pregnant 

6 and parenting students, or youth who have re7 entered school after a period of absence due to 

8 dropping out);’’; 

9 (2) in subsection (d)(1)(A)(i)— 

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

11 after the semicolon; 

12 (B) by redesignating subclause (III) as 

13 subclause (IV); and 

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

15 following: 

16 ‘‘(III) such teachers, including 

17 early childhood educators, to adopt 

18 culturally sensitive, evidence-based ap19 proaches for improving behavior (such 

20 as positive behavior interventions and 

21 supports and restorative justice), sup22 porting social and emotional learning, 

23 mitigating the effects of trauma, im24 proving the learning environment in 

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1 ma, compassion fatigue, and burnout, 

2 and for alternatives to suspensions, 

3 expulsions, corporal punishment, re4 ferrals to law enforcement, and other 

5 actions that remove students from the 

6 learning environment; and’’; and 

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

8 following: 

9 ‘‘(7) TRAUMA-INFORMED PRACTICE AND WORK

10 IN ALTERNATIVE EDUCATION SETTINGS.—Devel11 oping the teaching skills of prospective and, as appli12 cable, new, early childhood, elementary school, and 

13 secondary school teachers to adopt evidence-based 

14 and culturally sensitive, trauma-informed teaching 

15 strategies— 

16 ‘‘(A) to— 

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

18 its impact on learning; 

19 ‘‘(ii) maximize student engagement 

20 and promote the social and emotional de21 velopment of students; and 

22 ‘‘(iii) implement alternative practices 

23 to suspension and expulsion that do not re24 move students from the learning environ25 ment; and 


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1 ‘‘(B) including programs training teachers, 

2 including early childhood educators, to work 

3 with students with exposure to traumatic events 

4 (including students involved in the foster care 

5 or juvenile justice systems or runaway and 

6 homeless youth) and in alternative academic 

7 settings for youth unable to participate in a tra8 ditional public school program in which high 

9 populations of students with trauma exposure 

10 may learn (such as students involved in the fos11 ter care or juvenile justice systems, pregnant 

12 and parenting students, runaway and homeless 

13 students, and other youth who have re-entered 

14 school after a period of absence due to dropping 

15 out).’’. 

16 (b) ADMINISTRATIVE PROVISIONS.—Section 

17 203(b)(2) of the Higher Education Act of 1965 (20 

18 U.S.C. 1022b(b)(2)) is amended— 

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

20 after the semicolon; 

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

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

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

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

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1 grams for general education and special edu2 cation teachers, including early childhood edu3 cators.’’. 

4 (c) GRANTS FOR THE DEVELOPMENT OF LEADER5 SHIP PROGRAMS.—Section 202(f)(1)(B) of the Higher 

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

7 amended— 

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

9 (2) in clause (vi), by striking the period and in10 serting ‘‘; and’’; and 

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

12 ‘‘(vii) identify students who have expe13 rienced trauma and connect those students 

14 with appropriate school-based or commu15 nity-based interventions and services.’’. 

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

17 Not later than 18 months after the date of enactment 

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

19 in coordination with appropriate stakeholders with subject 

20 matter expertise which may include the National Child 

21 Traumatic Stress Network, shall carry out activities to de22 velop accessible and easily understandable toolkits for use 

23 by front-line service providers (including teachers, early 

24 childhood educators, school leaders, mentors, social work25 ers, counselors, faith leaders, first responders, and kinship 


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1 caregivers) for appropriately identifying, responding to, 

2 and supporting infants, children, and youth, and their 

3 families, as appropriate, who have experienced or are at 

4 risk of experiencing trauma. Front-line service providers 

5 may also include programs focused on adults who them6 selves have experience trauma or whose children have ex7 perienced trauma, including programs related to healthy 

8 marriage and responsible fatherhood, child support, and 

9 temporary assistance to needy families. Such toolkits shall 

10 incorporate best practices developed under section 7132(d) 

11 of the SUPPORT for Patients and Communities Act 

12 (Public Law 115–271), and include actions to build a safe, 

13 stable, and nurturing environment for the infants, chil14 dren, and youth served in those settings, capacity building, 

15 and strategies for addressing the impact of secondary 

16 trauma, compassion fatigue, and burnout among such 

17 front-line service providers. 

18 SEC. 206. CHILDREN EXPOSED TO VIOLENCE INITIATIVE. 

19 Title I of the Omnibus Crime Control and Safe 

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

21 adding at the end the following: 


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1 ‘‘PART OO—CHILDREN EXPOSED TO VIOLENCE 

2 AND ADDICTION INITIATIVE 

3 ‘‘SEC. 3051. GRANTS TO IDENTIFY AND SUPPORT CHILDREN 

4 EXPOSED TO VIOLENCE AND SUBSTANCE 

5 USE. 

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

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

8 and tribal organizations (as such terms are defined in sec9 tion 4 of the Indian Self-Determination Act and Edu10 cation Assistance Act), and nonprofit organizations to re11 duce violence and substance use by preventing exposure 

12 to trauma, violence, or substance use and identifying and 

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

14 as appropriate, exposed to trauma, violence, or substance 

15 use. 

16 ‘‘(b) USE OF FUNDS.—A grant under subsection (a) 

17 may be used to implement trauma-informed policies and 

18 practices that support infants, children, youth, and their 

19 families, as appropriate, by— 

20 ‘‘(1) building public awareness and education, 

21 and improving policies and practices; 

22 ‘‘(2) providing training, tools, and resources to 

23 develop the skills and capacity of parents (including 

24 foster parents), adult guardians, and professionals 

25 who interact directly with infants, children, and 

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1 nized or professional setting, including through the 

2 best practices developed under section 7132(d) of 

3 the SUPPORT for Patients and Communities Act 

4 (Public Law 115–271); and 

5 ‘‘(3) providing technical assistance to commu6 nities, organizations, and public agencies on how to 

7 prevent and mitigate the impact of exposure to trau8 ma, violence, or substance use. 

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

10 are authorized to be appropriated to carry out this section 

11 $11,000,000 for each of fiscal years 2020 through 2024.’’. 

12 SEC. 207. ESTABLISHMENT OF LAW ENFORCEMENT CHILD 

13 AND YOUTH TRAUMA COORDINATING CEN14 TER. 

15 (a) ESTABLISHMENT OF CENTER.— 

16 (1) IN GENERAL.—The Attorney General shall 

17 establish a National Law Enforcement Child and 

18 Youth Trauma Coordinating Center (referred to in 

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

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

21 law enforcement agencies (including those operated 

22 by Indian tribes and tribal organizations as such 

23 terms are defined in section 4 of the Indian Self-De24 termination Act and Education Assistance Act) in 

25 interacting with infants, children, and youth who 


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1 have been exposed to violence or other trauma, and 

2 their families as appropriate. 

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

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

5 covered by the activities of the Center. 

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

7 adult- and juvenile-serving State, local, and tribal law en8 forcement agencies by— 

9 (1) disseminating information on the best prac10 tices for law enforcement officers, which may include 

11 best practices based on evidence-based and evidence12 informed models from programs of the Department 

13 of Justice and the Office of Justice Services of the 

14 Bureau of Indian Affairs or the best practices devel15 oped under section 7132(d) of the SUPPORT for 

16 Patients and Communities Act (Public Law 115– 

17 271), such as— 

18 (A) models developed in partnership with 

19 national law enforcement organizations, Indian 

20 tribes, or clinical researchers; and 

21 (B) models that include— 

22 (i) culturally sensitive, trauma-in23 formed approaches to conflict resolution, 

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1 viewing, de-escalation, and crisis interven2 tion training; 

3 (ii) early interventions that link child 

4 and youth witnesses and victims, and their 

5 families as appropriate, to age-appropriate 

6 trauma-informed services; and 

7 (iii) preventing and supporting offi8 cers who experience secondary trauma; 

9 (2) providing professional training and technical 

10 assistance; and 

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

12 (c) GRANT PROGRAM.— 

13 (1) IN GENERAL.—The Attorney General, act14 ing through the Center, may award grants to State, 

15 local, and tribal law enforcement agencies or to 

16 multi-disciplinary consortia to— 

17 (A) enhance the awareness of best prac18 tices for trauma-informed responses to infants, 

19 children, and youth who have been exposed to 

20 violence or other trauma, and their families as 

21 appropriate; and 

22 (B) provide professional training and tech23 nical assistance in implementing the best prac24 tices described in subparagraph (A). 


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

2 law enforcement agency seeking a grant under this 

3 subsection shall submit an application to the Attor4 ney General at such time, in such manner, and con5 taining such information as the Attorney General 

6 may require. 

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

8 this subsection may be used to— 

9 (A) provide training to law enforcement of10 ficers on best practices, including how to iden11 tify and appropriately respond to early signs of 

12 trauma and violence exposure when interacting 

13 with infants, children, and youth, and their 

14 families, as appropriate; and 

15 (B) establish, operate, and evaluate a re16 ferral and partnership program with trauma-in17 formed clinical mental health, substance use, 

18 health care, or social service professionals in the 

19 community in which the law enforcement agen20 cy serves. 

21 (d) AUTHORIZATION OF APPROPRIATIONS.—There 

22 are authorized to be appropriated to the Attorney Gen23 eral— 


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1 (1) $6,000,000 for each of fiscal years 2020 

2 through 2024 to award grants under subsection (c); 

3 and 

4 (2) $2,000,000 for each of fiscal years 2020 

5 through 2024 for other activities of the Center. 

6 SEC. 208. NATIONAL INSTITUTES OF HEALTH REPORT ON 

7 TRAUMA. 

8 Not later than 1 year after the date of the enactment 

9 of this Act, the Director of the National Institutes of 

10 Health shall submit to Congress a report on the activities 

11 of the National Institutes of Health with respect to trau12 ma (including trauma that stems from child abuse, expo13 sure to violence, addiction and substance use, and toxic 

14 stress) and the implications of trauma for infants, chil15 dren, and youth, and their families, as appropriate. Such 

16 report shall include— 

17 (1) the comprehensive research agenda of the 

18 National Institutes of Health with respect to trau19 ma; 

20 (2) the capacity, expertise, and review mecha21 nisms of the National Institutes of Health with re22 spect to the evaluation and examination of research 

23 proposals related to child trauma, including coordi24 nation across institutes and centers and inclusion of 


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1 trauma impact statements within relevant grants fo2 cused on serving children and families; 

3 (3) the relevance of trauma to other diseases, 

4 outcomes, and domains; 

5 (4) strategies to link and analyze data from 

6 multiple independent sources, including child wel7 fare, health care (including mental health care), law 

8 enforcement, and education systems, to enhance re9 search efforts and improve health outcomes; 

10 (5) the efficacy of existing interventions, includ11 ing clinical treatment methods, child- and family-fo12 cused prevention models, and community-based ap13 proaches, in mitigating the effects of experiencing 

14 trauma and improving health and societal outcomes; 

15 and 

16 (6) identification of gaps in understanding in 

17 the field of trauma and areas of greatest need for 

18 further research related to trauma. 

Æ 


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