II 

116TH CONGRESS 

1ST SESSION S. 1770 

To improve the identification and support of children and families who 

experience trauma. 

IN THE SENATE OF THE UNITED STATES 

JUNE 10, 2019 

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’’. 


kjohnson on DSK79L0C42 with BILLS
2 

•S 1770 IS

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 


kjohnson on DSK79L0C42 with BILLS
3 

•S 1770 IS

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; 


kjohnson on DSK79L0C42 with BILLS
4 

•S 1770 IS

1 ‘‘(D) criminal justice representatives re2 lated to adults and juveniles, which may include 

3 law enforcement or 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. 


kjohnson on DSK79L0C42 with BILLS
5 

•S 1770 IS

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— 


kjohnson on DSK79L0C42 with BILLS
6 

•S 1770 IS

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 trauma-informed training and 

17 public outreach campaigns) related to implementing 

18 the best practices developed under section 7132(d) 

19 of the SUPPORT for Patients and Communities Act 

20 (Public Law 115–271) (referred to in this subsection 

21 as the ‘developed best practices’); and 

22 ‘‘(4) to develop a strategic plan that identi23 fies— 

24 ‘‘(A) policy goals and coordination oppor25 tunities (including coordination in applying for 


kjohnson on DSK79L0C42 with BILLS
7 

•S 1770 IS

1 grants) relating to implementing the developed 

2 best practices; and 

3 ‘‘(B) a comprehensive, integrated approach 

4 for the entity and its members to prevent and 

5 mitigate the impact of exposure to trauma in 

6 the community, and to assist the community in 

7 healing from existing and prior exposure to 

8 trauma. 

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 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 

21 is authorized to be appropriated to carry out this section 

22 $50,000,000 for the period of fiscal years 2020 through 

23 2023. 

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

25 setting’ means the settings in which individuals may come 


kjohnson on DSK79L0C42 with BILLS
8 

•S 1770 IS

1 into contact with infants, children, youth, and their fami2 lies, as appropriate, who have experienced or are at risk 

3 of experiencing trauma, including schools, hospitals, set4 tings where health care providers, including primary care 

5 and pediatric providers, provide services, early childhood 

6 education and care settings, home visiting settings, after7 school program facilities, child welfare agency facilities, 

8 public health agency facilities, mental health treatment fa9 cilities, substance use treatment facilities, faith-based in10 stitutions, domestic violence agencies, child advocacy cen11 ters, homeless services system facilities, refugee services 

12 system facilities, juvenile justice system facilities, law en13 forcement agency facilities, Healthy Marriage Promotion 

14 or Responsible Fatherhood service settings, child support 

15 service settings, and service settings focused on individuals 

16 eligible for Temporary Assistance for Needy Families.’’. 

17 SEC. 102. EXPANSION OF PERFORMANCE PARTNERSHIP 

18 PILOT FOR CHILDREN WHO HAVE EXPERI19 ENCED OR ARE AT RISK OF EXPERIENCING 

20 TRAUMA. 

21 Section 526 of the Departments of Labor, Health and 

22 Human Services, and Education, and Related Agencies 

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

24 amended— 


kjohnson on DSK79L0C42 with BILLS
9 

•S 1770 IS

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

2 following: 

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

4 and youth, and their families as appropriate, who 

5 have experienced or are at risk of experiencing trau6 ma’ means to increase the rate at which individuals 

7 who have experienced or are at risk of experiencing 

8 trauma, including those who are low-income, home9 less, involved with the child welfare system, involved 

10 in the juvenile justice system, unemployed, or not 

11 enrolled in or at risk of dropping out of an edu12 cational institution and live in a community that has 

13 faced acute or long-term exposure to substantial dis14 crimination, historical oppression, intergenerational 

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

16 overdose deaths, achieve success in meeting edu17 cational, employment, health, developmental, com18 munity reentry, permanency from foster care, or 

19 other key goals.’’; 

20 (2) in subsection (b)— 

21 (A) in the subsection heading, by striking 

22 ‘‘FISCAL YEAR 2014’’ and inserting ‘‘FISCAL

23 YEARS 2020 THROUGH 2024’’; 

24 (B) by redesignating paragraphs (1) and 

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


kjohnson on DSK79L0C42 with BILLS
10 

•S 1770 IS

1 and by moving such subparagraphs, as so re2 designated, 2 ems to the right; 

3 (C) by striking ‘‘Federal agencies’’ and in4 serting the following: 

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

6 agencies’’; and 

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

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

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

10 use Federal discretionary funds that are made 

11 available in this Act or any appropriations Act 

12 for any of fiscal years 2020 through 2024 to 

13 carry out up to 10 Performance Partnership Pi14 lots. Such Pilots shall— 

15 ‘‘(i) be designed to improve outcomes 

16 for infants, children, and youth, and their 

17 families as appropriate, who have experi18 enced or are at risk of experiencing trau19 ma; and 

20 ‘‘(ii) involve Federal programs tar21 geted on infants, children, and youth, and 

22 their families as appropriate, who have ex23 perienced or are at risk of experiencing 

24 trauma. 


kjohnson on DSK79L0C42 with BILLS
11 

•S 1770 IS

1 ‘‘(B) PRIORITY.—In making funds avail2 able under this paragraph, a Federal agency 

3 shall give priority to entities that receive grants 

4 under section 520B of the Public Health Serv5 ice Act.’’; 

6 (3) in subsection (c)(2)— 

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

8 ‘‘2018’’ and inserting ‘‘2023’’; and 

9 (B) in subparagraph (F), by inserting be10 fore the semicolon ‘‘, including the age range 

11 for such population’’; and 

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

13 inserting ‘‘2023’’. 

14 SEC. 103. NATIONAL AND COMMUNITY SERVICE. 

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

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

17 12525(a)(2)) is amended— 

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

19 the end; 

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

21 and inserting ‘‘, and’’; and 

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

23 ‘‘(E) information describing how the appli24 cant will give priority, in reviewing applications 

25 under subsection (b), to entities that propose 


kjohnson on DSK79L0C42 with BILLS
12 

•S 1770 IS

1 service-learning programs in communities with 

2 high levels of trauma (as defined in section 

3 520B of the Public Health Service Act).’’. 

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

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

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

7 women,’’ the following: ‘‘and to give priority (to the max8 imum extent practicable) to recruitment of participants 

9 from communities with high levels of trauma (as defined 

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

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

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

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

14 following: 

15 ‘‘(4) In the case of a State or territory de16 scribed in section 129(e), an assurance that the 

17 State or territory, in distributing grant funds made 

18 available under that section, will give priority to en19 tities proposing national service programs that are 

20 related to the provision of trauma-informed services 

21 in communities with high levels of trauma (as de22 fined in section 520B of the Public Health Service 

23 Act).’’. 


kjohnson on DSK79L0C42 with BILLS
13 

•S 1770 IS

1 (d) AMERICORPS COMPETITIVE PROGRAMS.—Section 

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

3 1990 (42 U.S.C. 12585(d)(2)) is amended— 

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

5 the end; 

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

7 and inserting ‘‘; and’’; and 

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

9 ‘‘(D) national service programs that are re10 lated to the provision of trauma-informed serv11 ices in communities with high levels of trauma 

12 (as defined in section 520B of the Public 

13 Health Service Act).’’. 

14 SEC. 104. HOSPITAL-BASED INTERVENTIONS TO REDUCE 

15 READMISSIONS. 

16 Section 911 of the Public Health Service Act (42 

17 U.S.C. 299b) is amended by adding at the end the fol18 lowing: 

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

20 READMISSIONS.— 

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

22 the Director of the Agency, shall award grants to el23 igible entities to evaluate hospital-based interven24 tions to reduce subsequent readmissions of patients 


kjohnson on DSK79L0C42 with BILLS
14 

•S 1770 IS

1 that present at a hospital after overdosing, attempt2 ing suicide, or suffering violent injury or abuse. 

3 ‘‘(2) ELIGIBLE ENTITIES.—To be eligible to re4 ceive a grant under this subsection and entity 

5 shall— 

6 ‘‘(A) be a hospital or health system (in7 cluding health systems operated by Indian 

8 tribes or tribal organizations as such terms are 

9 defined in section 4 of the Indian Self-Deter10 mination Act and Education Assistance Act); 

11 and 

12 ‘‘(B) submit to the Secretary an applica13 tion at such time, in such manner, and con14 taining such information as the Secretary may 

15 require, which shall include demonstrated expe16 rience furnishing successful hospital-based trau17 ma interventions to improve outcomes for pa18 tients presenting after overdosing, attempting 

19 suicide, or suffering violent injury or abuse. 

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

21 amounts received under a grant under this sub22 section to test and evaluate hospital-based trauma23 informed interventions for patients who present at 

24 hospitals with drug overdoses, suicide attempts, and 

25 violent injuries (such as domestic violence or intenVerDate Sep 11 2014 22:44 Jun 11, 2019 Jkt 089200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6201 E:\BILLS\S1770.IS S1770

kjohnson on DSK79L0C42 with BILLS
15 

•S 1770 IS

1 tional penetrating wounds, including gunshots and 

2 stabbings) to provide comprehensive education, 

3 screening, counseling, discharge planning, skills 

4 building, and long-term case management services to 

5 prevent hospital readmission, injury, and improve 

6 health and safety outcomes. Such interventions may 

7 be furnished in coordination or partnership with 

8 qualified community-based organizations and may 

9 include or incorporate the best practices developed 

10 under section 7132(d) of the SUPPORT for Pa11 tients and Communities Act (Public Law 115–271). 

12 ‘‘(4) QUALITY MEASURES.—An entity that re13 ceive a grant under this section shall submit to the 

14 Secretary a report on the data and outcomes devel15 oped under the grant, including any quality meas16 ures developed to prevent hospital readmissions for 

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

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

19 STUDENTS WITH ARTS OPPORTUNITIES. 

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

21 and Humanities Act of 1965 (20 U.S.C. 954(c)) is amend22 ed— 

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

24 end; 


kjohnson on DSK79L0C42 with BILLS
16 

•S 1770 IS

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

2 and inserting ‘‘; and’’; and 

3 (3) by inserting after paragraph (10), the fol4 lowing: 

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

6 provide therapy and creative expression opportuni7 ties through the arts for children, and their families 

8 as appropriate, who have experienced or are at risk 

9 of experiencing trauma.’’. 

10 SEC. 106. ENSURING PARITY FOR INFANT, EARLY CHILD11 HOOD, AND YOUTH MENTAL HEALTH. 

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

13 (42 U.S.C. 290ll et seq.) is amended— 

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

15 290ee–10), relating to sobriety treatment and recov16 ery teams, as section 598; and 

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

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

19 HEALTH PARITY. 

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

21 with the Secretary of Labor and the Secretary of Edu22 cation, shall award grants to, or enter into cooperative 

23 agreements with, States to ensure that health insurance 

24 issuers in the State comply with section 2726, as such secVerDate Sep 11 2014 22:44 Jun 11, 2019 Jkt 089200 PO 00000 Frm 00016 Fmt 6652 Sfmt 6201 E:\BILLS\S1770.IS S1770

kjohnson on DSK79L0C42 with BILLS
17 

•S 1770 IS

1 tion applies to infant and early childhood mental and be2 havioral health. 

3 ‘‘(b) USE OF GRANT.—A State shall use amounts re4 ceived under a grant or cooperative agreement under this 

5 section to— 

6 ‘‘(1) establish clear guidelines for parity compli7 ance for infant and early childhood mental health 

8 that are evidence-based; 

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

10 for meeting an infant’s Individualized Family Serv11 ice Plan under part C of the Individuals with Dis12 abilities Education Act or a preschool aged child’s 

13 Individualized Education Plan under part B of such 

14 Act, as well as providing Coordinated Early Inter15 vening Services under part B of such Act to pre16 school age children; 

17 ‘‘(3) engage with health insurance issuers to en18 sure that they comply with the guidelines promul19 gated and other provisions of section 2726, as such 

20 section applies to infant and early childhood mental 

21 health; 

22 ‘‘(4) ensure health insurance issuer compliance 

23 through audits, market conduct examinations, secret 

24 shopper programs, or other means; 


kjohnson on DSK79L0C42 with BILLS
18 

•S 1770 IS

1 ‘‘(5) share learnings with other States who re2 ceive grants under this section; and 

3 ‘‘(6) submit a report to the Secretary, the Sec4 retary of Labor, and the Secretary of Education, on 

5 findings, actions, recommendations, and any such 

6 other information as such Secretaries shall require. 

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

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

9 $10,000,000 for each of fiscal years 2020 through 2024.’’. 

10 SEC. 107. STREAMLINING AND COORDINATING TRAUMA 

11 GRANT FUNDING. 

12 Not later than 2 years after the date of enactment 

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

14 Budget, in coordination with the Task Force created 

15 under section 7132 of the SUPPORT for Patients and 

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

17 Federal grant programs and funding streams with rel18 evance or potential to furnish the best practices developed 

19 under section 7132(d) of such Act for preventing and miti20 gating the impact of trauma, and issue guidance to agen21 cies on the following: 

22 (1) Aligning measurement, reporting, and 

23 timelines for Federal funds used to address commu24 nity trauma. 


kjohnson on DSK79L0C42 with BILLS
19 

•S 1770 IS

1 (2) Leveraging different Federal funding 

2 streams to enable effective data sharing, integration, 

3 and privacy to support coordination for addressing 

4 community trauma. 

5 (3) Consistency in eligibility requirements and 

6 enrollment pathways for Federal funding to facili7 tate strategies for addressing community trauma. 

8 (4) Support for community-level planning ac9 tivities that advance the overall policy goals of each 

10 Federal funding stream. 

11 (5) Modeling the long-term budgetary benefits 

12 of preventing or mitigating community trauma. 

13 (6) The inclusion of trauma impact statements 

14 within relevant grants focused on serving children 

15 and families. 

16 SEC. 108. MEASURING SAVINGS FROM TRAUMA-INFORMED 

17 INTERVENTIONS. 

18 (a) IDENTIFICATION OF EFFECTIVE INTERVEN19 TIONS.—The Secretary of Health and Human Services, 

20 acting through the Assistant Secretary for Planning and 

21 Evaluation, and in coordination with the Attorney Gen22 eral, the Secretary of Education, and the Secretary of 

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

24 practices developed under section 7132(d) of the SUP25 PORT for Patients and Communities Act (Public Law 


kjohnson on DSK79L0C42 with BILLS
20 

•S 1770 IS

1 115–271) (referred to in this section as the ‘‘developed 

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

3 grant or health insurance program to prevent and mitigate 

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

5 and their families, as appropriate, and identify those prac6 tices which hold the most promise to reduce long-term 

7 costs and spending associated with children, including 

8 health care and child welfare costs. 

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

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

11 may— 

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

13 findings, and conclusions; and 

14 (2) examine methods for evaluating whether the 

15 developed best practices were effectively implemented 

16 and the predicted outcomes and savings are likely to 

17 be achieved, which may include competency and test18 ing approaches, and performance or outcome meas19 ures. 

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

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

22 shall be updated at regular intervals. 

23 (d) EVALUATING LONG-TERM SAVINGS ASSOCIATED

24 WITH THE INTERVENTIONS.—The Director of the Office 

25 of Management and Budget shall analyze, determine, and 


kjohnson on DSK79L0C42 with BILLS
21 

•S 1770 IS

1 publicly report the cost-savings across the Federal budget 

2 over 20 years, including an appropriate discount rate, as3 sociated with the effective implementation of the interven4 tions identified in subsection (a), when applied in a rep5 resentative population of children participating in all such 

6 appropriate Federal grant or health insurance programs 

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

8 every 5 years. 

9 TITLE II—WORKFORCE 

10 DEVELOPMENT 

11 SEC. 201. DIVERSITY TRAINING FOR INDIVIDUALS FROM 

12 COMMUNITIES THAT HAVE EXPERIENCED 

13 HIGH LEVELS OF TRAUMA, VIOLENCE, OR AD14 DICTION. 

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

16 (42 U.S.C. 293 et seq.) is amended by adding at the end 

17 the following: 

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

19 EXPERIENCED HIGH LEVELS OF TRAUMA, VI20 OLENCE, OR ADDICTION. 

21 ‘‘In carrying out activities under this part, the Sec22 retary shall ensure that emphasis is provided on the re23 cruitment of individuals from communities that have expe24 rienced high levels of trauma, violence, or addiction and 

25 that appropriate activities under this part are carried out 


kjohnson on DSK79L0C42 with BILLS
22 

•S 1770 IS

1 in partnership with community-based organizations that 

2 have expertise in addressing such challenges to enhance 

3 service delivery.’’. 

4 SEC. 202. FUNDING FOR THE NATIONAL HEALTH SERVICE 

5 CORPS. 

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

7 Affordable Care Act (42 U.S.C. 254b–2(b)(2)) is amend8 ed— 

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

10 the end; 

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

12 and inserting ‘‘; and’’; and 

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

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

15 2020 through 2024.’’. 

16 SEC. 203. INFANT AND EARLY CHILDHOOD CLINICAL WORK17 FORCE. 

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

19 (42 U.S.C. 280g) is amended by adding at the end the 

20 following: 

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

22 WORKFORCE. 

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

24 the Associate Administrator of the Maternal and Child 

25 Health Bureau, shall establish an Infant and Early ChildVerDate Sep 11 2014 22:44 Jun 11, 2019 Jkt 089200 PO 00000 Frm 00022 Fmt 6652 Sfmt 6201 E:\BILLS\S1770.IS S1770

kjohnson on DSK79L0C42 with BILLS
23 

•S 1770 IS

1 hood Clinical Mental Health Leadership Program to 

2 award grants to eligible entities to establish training insti3 tutes and centers of excellence for infant and early child4 hood clinical mental health. 

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

6 a grant under this section, an entity shall— 

7 ‘‘(1) be— 

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

9 defined in section 101(a) of the Higher Edu10 cation Act of 1965; or 

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

12 such an institution of higher education, or a 

13 State professional medical society or association 

14 of infant mental health demonstrating an affili15 ation or partnership with such an institution of 

16 higher education; and 

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

18 such time, in such manner, and containing such in19 formation as the Secretary may require. 

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

21 received under a grant under this section to establish 

22 statewide training institutes or centers of excellence for 

23 licensed clinical social workers, licensed professional coun24 selors, licensed marriage and family therapists, clinical 

25 psychologists, child psychiatrists, school psychologists, 


kjohnson on DSK79L0C42 with BILLS
24 

•S 1770 IS

1 nurses, and developmental and behavioral pediatricians on 

2 infant and early childhood clinical mental health, with an 

3 emphasis on screening, assessment, service provision or re4 ferral, prevention, and treatment for infants and children 

5 who have experienced or are at risk of experiencing trau6 ma, as well as prevention of secondary trauma, through— 

7 ‘‘(1) the provision of community-based training 

8 and supervision in evidence-based assessment, diag9 nosis, and treatment, which may be conducted 

10 through partnership with qualified community-based 

11 organizations; 

12 ‘‘(2) the development of graduate education 

13 training tracks; 

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

15 including to enhance recruitment from under-rep16 resented populations in the mental health workforce; 

17 and 

18 ‘‘(4) the provision of mid-career training to de19 velop the capacity of existing health practitioners. 

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

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

22 $25,000,000 for each of fiscal years 2020 through 2024.’’. 


kjohnson on DSK79L0C42 with BILLS
25 

•S 1770 IS

1 SEC. 204. TRAUMA-INFORMED TEACHING AND SCHOOL 

2 LEADERSHIP. 

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

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

5 amended— 

6 (1) in subsection (b)(6)— 

7 (A) by redesignating subparagraphs (H) 

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

9 respectively; and 

10 (B) by inserting after subparagraph (G) 

11 the following: 

12 ‘‘(H) how the partnership will prepare gen13 eral education and special education teachers, 

14 including early childhood educators, to support 

15 positive learning outcomes and social and emo16 tional development for students who have expe17 rienced trauma (including students who are in18 volved in the foster care or juvenile justice sys19 tems or runaway or homeless youth) and in al20 ternative education settings in which high popu21 lations of youth with trauma exposure may 

22 learn (including settings for correctional edu23 cation, juvenile justice, pregnant and parenting 

24 students, or youth who have re-entered school 

25 after a period of absence due to dropping 

26 out);’’; 


kjohnson on DSK79L0C42 with BILLS
26 

•S 1770 IS

1 (2) in subsection (d)(1)(A)(i)— 

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

3 after the semicolon; 

4 (B) by redesignating subclause (III) as 

5 subclause (IV); and 

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

7 following: 

8 ‘‘(III) such teachers, including 

9 early childhood educators, to adopt 

10 evidence-based approaches for improv11 ing behavior (such as positive behavior 

12 interventions and supports and restor13 ative justice), supporting social and 

14 emotional learning, mitigating the ef15 fects of trauma, improving the learn16 ing environment in the school, pre17 venting secondary trauma, compassion 

18 fatigue, and burnout, and for alter19 natives to suspensions, expulsions, 

20 corporal punishment, referrals to law 

21 enforcement, and other actions that 

22 remove students from the learning en23 vironment; and’’; and 

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

25 following: 


kjohnson on DSK79L0C42 with BILLS
27 

•S 1770 IS

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

2 IN ALTERNATIVE EDUCATION SETTINGS.—Devel3 oping the teaching skills of prospective and, as appli4 cable, new, early childhood, elementary school, and 

5 secondary school teachers to adopt evidence-based 

6 trauma-informed teaching strategies— 

7 ‘‘(A) to— 

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

9 its impact on learning; 

10 ‘‘(ii) maximize student engagement 

11 and promote the social and emotional de12 velopment of students; and 

13 ‘‘(iii) implement alternative practices 

14 to suspension and expulsion that do not re15 move students from the learning environ16 ment; and 

17 ‘‘(B) including programs training teachers, 

18 including early childhood educators, to work 

19 with students with exposure to traumatic events 

20 (including students involved in the foster care 

21 or juvenile justice systems or runaway and 

22 homeless youth) and in alternative academic 

23 settings for youth unable to participate in a tra24 ditional public school program in which high 

25 populations of students with trauma exposure 


kjohnson on DSK79L0C42 with BILLS
28 

•S 1770 IS

1 may learn (such as students involved in the fos2 ter care or juvenile justice systems, pregnant 

3 and parenting students, runaway and homeless 

4 students, and other youth who have re-entered 

5 school after a period of absence due to dropping 

6 out).’’. 

7 (b) ADMINISTRATIVE PROVISIONS.—Section 

8 203(b)(2) of the Higher Education Act of 1965 (20 

9 U.S.C. 1022b(b)(2)) is amended— 

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

11 after the semicolon; 

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

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

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

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

16 high-quality proposal for trauma training pro17 grams for general education and special edu18 cation teachers, including early childhood edu19 cators.’’. 

20 (c) GRANTS FOR THE DEVELOPMENT OF LEADER21 SHIP PROGRAMS.—Section 202(f)(1)(B) of the Higher 

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

23 amended— 

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


kjohnson on DSK79L0C42 with BILLS
29 

•S 1770 IS

1 (2) in clause (vi), by striking the period and in2 serting ‘‘; and’’; and 

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

4 ‘‘(vii) identify students who have expe5 rienced trauma and connect those students 

6 with appropriate school-based or commu7 nity-based interventions and services.’’. 

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

9 Not later than 18 months after the date of enactment 

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

11 in coordination with appropriate stakeholders with subject 

12 matter expertise which may include the National Child 

13 Traumatic Stress Network, shall carry out activities to de14 velop accessible and easily understandable toolkits for use 

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

16 childhood educators, school leaders, mentors, social work17 ers, counselors, faith leaders, first responders, kinship 

18 caregivers) for appropriately identifying, responding to, 

19 and supporting infants, children, and youth, and their 

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

21 risk of experiencing trauma. Front-line service providers 

22 may also include programs focused on adults whose chil23 dren or who themselves have experienced trauma, includ24 ing programs related to Healthy Marriage and Respon25 sible Fatherhood, child support, and Temporary AssistVerDate Sep 11 2014 22:44 Jun 11, 2019 Jkt 089200 PO 00000 Frm 00029 Fmt 6652 Sfmt 6201 E:\BILLS\S1770.IS S1770

kjohnson on DSK79L0C42 with BILLS
30 

•S 1770 IS

1 ance to Needy Families. Such toolkits shall incorporate 

2 best practices developed under section 7132(d) of the 

3 SUPPORT for Patients and Communities Act (Public 

4 Law 115–271), and include actions to build a safe, stable, 

5 and nurturing environment for the infants, children, and 

6 youth served in those settings, capacity building, and 

7 strategies for addressing the impact of secondary trauma, 

8 compassion fatigue, and burnout among such front-line 

9 service providers. 

10 SEC. 206. CHILDREN EXPOSED TO VIOLENCE INITIATIVE. 

11 Title I of the Omnibus Crime Control and Safe 

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

13 adding at the end the following: 

14 ‘‘PART OO—CHILDREN EXPOSED TO VIOLENCE 

15 AND ADDICTION INITIATIVE 

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

17 EXPOSED TO VIOLENCE AND SUBSTANCE 

18 USE. 

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

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

21 and tribal organizations (as such terms are defined in sec22 tion 4 of the Indian Self-Determination Act and Edu23 cation Assistance Act), and nonprofit organizations to re24 duce violence and substance use by preventing exposure 

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


kjohnson on DSK79L0C42 with BILLS
31 

•S 1770 IS

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

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

3 use. 

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

5 may be used to implement trauma-informed policies and 

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

7 families, as appropriate, by— 

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

9 and improving policies and practices; 

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

11 develop the skills and capacity of parents (including 

12 foster parents), adult guardians, and professionals 

13 who interact directly with infants, children, and 

14 youth, and their families, as appropriate, in an orga15 nized or professional setting, including through the 

16 best practices developed under section 7132(d) of 

17 the SUPPORT for Patients and Communities Act 

18 (Public Law 115–271); and 

19 ‘‘(3) providing technical assistance to commu20 nities, organizations, and public agencies on how to 

21 prevent and mitigate the impact of exposure to trau22 ma, violence, and substance use. 

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

24 are authorized to be appropriated to carry out this section 

25 $11,000,000 for each of fiscal years 2020 through 2024.’’. 


kjohnson on DSK79L0C42 with BILLS
32 

•S 1770 IS

1 SEC. 207. ESTABLISHMENT OF LAW ENFORCEMENT CHILD 

2 AND YOUTH TRAUMA COORDINATING CEN3 TER. 

4 (a) ESTABLISHMENT OF CENTER.— 

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

6 establish a National Law Enforcement Child and 

7 Youth Trauma Coordinating Center (referred to in 

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

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

10 law enforcement agencies (including those operated 

11 by Indian tribes and tribal organizations as such 

12 terms are defined in section 4 of the Indian Self-De13 termination Act and Education Assistance Act) in 

14 interacting with infants, children, and youth who 

15 have been exposed to violence or other trauma, and 

16 their families as appropriate. 

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

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

19 covered by the activities of the Center. 

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

21 adult- and juvenile-serving State, local, and tribal law en22 forcement agencies by— 

23 (1) disseminating information on the best prac24 tices for law enforcement officers, which may include 

25 best practices based on evidence-based and evidence26 informed models from programs of the Department 


kjohnson on DSK79L0C42 with BILLS
33 

•S 1770 IS

1 of Justice and the Office of Justice Services of the 

2 Bureau of Indian Affairs or the best practices devel3 oped under section 7132(d) of the SUPPORT for 

4 Patients and Communities Act (Public Law 115– 

5 271), such as— 

6 (A) models developed in partnership with 

7 national law enforcement organizations, Indian 

8 tribes, or clinical researchers; and 

9 (B) models that include— 

10 (i) trauma-informed approaches to 

11 conflict resolution, information gathering, 

12 forensic interviewing, de-escalation, and 

13 crisis intervention training; 

14 (ii) early interventions that link child 

15 and youth witnesses and victims, and their 

16 families as appropriate, to age-appropriate 

17 trauma-informed services; and 

18 (iii) preventing and supporting offi19 cers who experience secondary trauma; 

20 (2) providing professional training and technical 

21 assistance; and 

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

23 (c) GRANT PROGRAM.— 

24 (1) IN GENERAL.—The Attorney General, act25 ing through the Center, may award grants to State, 


kjohnson on DSK79L0C42 with BILLS
34 

•S 1770 IS

1 local, and tribal law enforcement agencies or to 

2 multi-disciplinary consortia to— 

3 (A) enhance the awareness of best prac4 tices for trauma-informed responses to infants, 

5 children, and youth who have been exposed to 

6 violence or other trauma, and their families as 

7 appropriate; and 

8 (B) provide professional training and tech9 nical assistance in implementing the best prac10 tices described in subparagraph (A). 

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

12 law enforcement agency seeking a grant under this 

13 subsection shall submit an application to the Attor14 ney General at such time, in such manner, and con15 taining such information as the Attorney General 

16 may require. 

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

18 this subsection may be used to— 

19 (A) provide training to law enforcement of20 ficers on best practices, including how to iden21 tify and appropriately respond to early signs of 

22 trauma and violence exposure when interacting 

23 with infants, children, and youth, and their 

24 families, as appropriate; and 


kjohnson on DSK79L0C42 with BILLS
35 

•S 1770 IS

1 (B) establish, operate, and evaluate a re2 ferral and partnership program with trauma-in3 formed clinical mental health, substance use, 

4 health care, or social service professionals in the 

5 community in which the law enforcement agen6 cy serves. 

7 (d) AUTHORIZATION OF APPROPRIATIONS.—There 

8 are authorized to be appropriated to the Attorney Gen9 eral— 

10 (1) $6,000,000 for each of fiscal years 2020 

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

12 and 

13 (2) $2,000,000 for each of fiscal years 2020 

14 through 2024 for other activities of the Center. 

15 SEC. 208. NATIONAL INSTITUTES OF HEALTH REPORT ON 

16 TRAUMA. 

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

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

19 Health shall submit to Congress a report on the activities 

20 of the National Institutes of Health with respect to trau21 ma (including trauma that stems from child abuse, expo22 sure to violence, addiction and substance use, and toxic 

23 stress) and the implications of trauma for infants, chil24 dren, and youth, and their families, as appropriate. Such 

25 report shall include— 


kjohnson on DSK79L0C42 with BILLS
36 

•S 1770 IS

1 (1) the comprehensive research agenda of the 

2 National Institutes of Health with respect to trau3 ma; 

4 (2) the capacity, expertise, and review mecha5 nisms of the National Institutes of Health with re6 spect to the evaluation and examination of research 

7 proposals related to child trauma, including coordi8 nation across institutes and centers and inclusion of 

9 trauma impact statements within relevant grants fo10 cused on serving children and families; 

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

12 outcomes, and domains; 

13 (4) strategies to link and analyze data from 

14 multiple independent sources, including child wel15 fare, health care (including mental health care), law 

16 enforcement, and education systems, to enhance re17 search efforts and improve health outcomes; 

18 (5) the efficacy of existing interventions, includ19 ing clinical treatment methods, child- and family-fo20 cused prevention models, and community-based ap21 proaches, in mitigating the effects of experiencing 

22 trauma and improving health and societal outcomes; 

23 and 


kjohnson on DSK79L0C42 with BILLS
37 

•S 1770 IS

1 (6) identification of gaps in understanding in 

2 the field of trauma and areas of greatest need for 

3 further research related to trauma. 

Æ 


kjohnson on DSK79L0C42 with BILLS