II 

114TH CONGRESS 

2D SESSION S. 3519 

To address the psychological, social, and emotional needs of children, youth, 

and families who have experienced trauma, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

DECEMBER 7, 2016 

Ms. HEITKAMP (for herself, Mr. DURBIN, and Mr. FRANKEN) introduced the 

following bill; which was read twice and referred to the Committee on 

Health, Education, Labor, and Pensions 

A BILL 

To address the psychological, social, and emotional needs 

of children, youth, and families who have experienced 

trauma, and for other purposes. 

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

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Trauma-Informed 

5 Care for Children and Families Act of 2016’’. 


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1 TITLE I—DEVELOPMENT OF 

2 BEST PRACTICES 

3 SEC. 101. TASK FORCE TO DEVELOP BEST PRACTICES FOR 

4 TRAUMA-INFORMED IDENTIFICATION, RE5 FERRAL, AND SUPPORT. 

6 (a) ESTABLISHMENT OF TASK FORCE TO IDENTIFY, 

7 EVALUATE, RECOMMEND, MAINTAIN, AND UPDATE BEST

8 PRACTICES.— 

9 (1) ESTABLISHMENT.—There is established a 

10 task force, to be known as the Interagency Task 

11 Force on Trauma-Informed Care. 

12 (2) MAIN DUTIES.—The task force shall— 

13 (A) identify, evaluate, recommend, main14 tain, and update, as described in subsection (c) 

15 and in accordance with subsection (d), a set of 

16 best practices with respect to children and 

17 youth, and their families as appropriate, who 

18 have experienced or are at risk of experiencing 

19 trauma; and 

20 (B) carry out other duties as described in 

21 subsection (c). 

22 (b) TASK FORCE COMPOSITION.— 

23 (1) COMPOSITION.—The task force shall be 

24 composed of Federal employees, consisting of the 

25 Administrator of the Substance Abuse and Mental 


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1 Health Services Administration (referred to in this 

2 section as the ‘‘Administrator’’) and 1 representative 

3 of each of— 

4 (A) the National Center for Injury Preven5 tion and Control of the Centers for Disease 

6 Control and Prevention; 

7 (B) the Maternal and Child Health Bureau 

8 of the Health Resources and Services Adminis9 tration; 

10 (C) the Center for Medicaid and CHIP 

11 Services; 

12 (D) the National Institute of Mental 

13 Health; 

14 (E) the Eunice Kennedy Shriver National 

15 Institute of Child Health and Human Develop16 ment; 

17 (F) the National Institute on Drug Abuse; 

18 (G) the National Institute on Alcohol 

19 Abuse and Alcoholism; 

20 (H) the Administration on Children, Youth 

21 and Families of the Administration for Children 

22 and Families; 

23 (I) the Administration for Native Ameri24 cans of the Administration for Children and 

25 Families; 


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1 (J) the Office of Child Care of the Admin2 istration for Children and Families; 

3 (K) the Office of Head Start of the Ad4 ministration for Children and Families; 

5 (L) the Office of Refugee Resettlement of 

6 the Administration for Children and Families; 

7 (M) the Indian Health Service of the De8 partment of Health and Human Services; 

9 (N) the Office of Minority Health of the 

10 Department of Health and Human Services; 

11 (O) the Office of Juvenile Justice and De12 linquency Prevention of the Department of Jus13 tice; 

14 (P) the Office of Community Oriented Po15 licing Services of the Department of Justice; 

16 (Q) the National Center for Education 

17 Evaluation and Regional Assistance of the De18 partment of Education; 

19 (R) the Office of Safe and Healthy Stu20 dents of the Department of Education; 

21 (S) the Office of Special Education and 

22 Rehabilitative Services of the Department of 

23 Education; 

24 (T) the Office of Indian Education of the 

25 Department of Education; 


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1 (U) the Bureau of Indian Affairs of the 

2 Department of the Interior; 

3 (V) the Bureau of Indian Education of the 

4 Department of the Interior; 

5 (W) the Veterans Health Administration of 

6 the Department of Veterans Affairs; and 

7 (X) such other Federal agencies as— 

8 (i) the Administrator recommends to 

9 the President; and 

10 (ii) the President determines to be ap11 propriate. 

12 (2) APPOINTMENT.— 

13 (A) IN GENERAL.—Each member of the 

14 task force, other than the Administrator, shall 

15 be appointed by the Secretary or other head of 

16 the entire Federal agency that contains the of17 fice or other unit of government that the mem18 ber represents. 

19 (B) DATE OF APPOINTMENTS.—The heads 

20 of Federal agencies with appointing authority 

21 under this paragraph shall appoint the cor22 responding members of the task force not later 

23 than 6 months after the date of enactment of 

24 this Act. 


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1 (3) CHAIRPERSON.—The task force shall be 

2 chaired by the Administrator. 

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

4 (1) not later than 1 year after the date of en5 actment of this Act, and not less often than annually 

6 thereafter— 

7 (A) identify and evaluate a set of evidence8 based and evidence-informed best practices, 

9 which may include practices already developed 

10 by the Department of Health and Human Serv11 ices, the Department of Justice, the Depart12 ment of Education, or another Federal agency, 

13 with respect to— 

14 (i) the early identification of children 

15 and youth, and their families as appro16 priate, who have experienced or are at risk 

17 of experiencing trauma; 

18 (ii) the expeditious referral of such 

19 children and youth, and their families as 

20 appropriate, that require specialized serv21 ices to the appropriate trauma-informed 

22 support (including treatment) services, in 

23 accordance with applicable privacy laws; 

24 and 


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1 (iii) the implementation of trauma-in2 formed approaches and interventions in 

3 child and youth-serving schools, organiza4 tions, homes, and other settings to foster 

5 safe, stable, and nurturing environments 

6 and relationships that prevent and mitigate 

7 the effects of trauma; 

8 (B) recommend such set of best practices, 

9 including disseminating the set, to the Depart10 ment of Health and Human Services, the De11 partment of Justice, the Department of Edu12 cation, other Federal agencies as appropriate, 

13 State, tribal, and local government agencies, in14 cluding State, local, and tribal educational 

15 agencies, and other entities (including recipients 

16 of relevant Federal grants, professional associa17 tions, health professional organizations, na18 tional and State accreditation bodies, and 

19 schools) that the Administrator determines to 

20 be appropriate, and to the general public; and 

21 (C) maintain and update, as appropriate, 

22 the set of best practices recommended under 

23 subparagraph (B); 

24 (2) not later than each date on which the task 

25 force disseminates a set of best practices under 


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1 paragraph (1)(B), prepare and submit to Congress 

2 a report containing a description of the set; and 

3 (3) not later than 1 year after the date of en4 actment of this Act, and as often as practicable but 

5 not less often than annually thereafter, coordinate, 

6 among the offices and other units of government 

7 represented on the task force, research, to the extent 

8 feasible, and evaluation regarding models described 

9 in subsection (d)(1)(C), identify gaps in or popu10 lations or settings not served by models described in 

11 that subsection, solicit feedback on the models, from 

12 the stakeholders described in subsection (d)(1)(B), 

13 coordinate, among the offices and other units of gov14 ernment represented on the task force, the awarding 

15 of grants related to preventing and mitigating trau16 ma, and establish procedures to enable the offices 

17 and units of government to share technical expertise 

18 related to preventing and mitigating trauma. 

19 (d) BEST PRACTICES.— 

20 (1) IN GENERAL.—In identifying, evaluating, 

21 recommending, maintaining, and updating the set of 

22 best practices under subsection (c), the task force 

23 shall— 

24 (A) consider findings from evidence-based 

25 and evidence-informed models, including from 


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1 institutions of higher education, community 

2 practice (including tribal experience), recog3 nized professional associations, and programs of 

4 the Department of Health and Human Services, 

5 the Department of Justice, the Department of 

6 Education, and other Federal agencies, that re7 flect the science of healthy child, youth, and 

8 family development, and have been developed, 

9 implemented, and evaluated to demonstrate ef10 fectiveness and positive measurable outcomes; 

11 (B) engage with, and solicit and receive 

12 feedback from, faculty at institutions of higher 

13 education, community practitioners associated 

14 with the community practice described in sub15 paragraph (A), and recognized professional as16 sociations that represent the experience and 

17 perspectives of individuals who provide services 

18 in covered settings, to obtain observations and 

19 practical recommendations on the best prac20 tices; 

21 (C) ensure that the best practices include 

22 culturally sensitive, linguistically appropriate, 

23 and age- and gender-relevant models for set24 tings in which individuals may come into con25 tact with children and youth, and their families 


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1 as appropriate, who have experienced or are at 

2 risk of experiencing trauma, including schools, 

3 hospitals, settings where health care providers, 

4 including primary care and pediatric providers, 

5 provide services, preschool and early childhood 

6 education and care settings, home visiting set7 tings, after-school program facilities, child wel8 fare agency facilities, public health agency fa9 cilities, mental health treatment facilities, sub10 stance abuse treatment facilities, faith-based in11 stitutions, juvenile justice system facilities, and 

12 law enforcement agency facilities; 

13 (D) recommend best practices that are evi14 dence-based or evidence-informed and include 

15 guidelines for— 

16 (i)(I) training of front-line service 

17 providers, including teachers, providers 

18 from child- or youth-serving organizations, 

19 health care providers, and first responders, 

20 in identifying early signs and risk factors 

21 of trauma in children and youth, and their 

22 families as appropriate, including through 

23 screening processes; and 

24 (II) implementing appropriate re25 sponses; 


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1 (ii) mechanisms that— 

2 (I) are procedures or systems, 

3 and are designed to quickly refer chil4 dren and youth, and their families as 

5 appropriate, who have experienced or 

6 are at risk of experiencing trauma to, 

7 and ensure the children, youth, and 

8 appropriate family members receive, 

9 the appropriate trauma-informed 

10 screening and support, including 

11 treatment; or 

12 (II) use partnerships that— 

13 (aa) include covered recipi14 ents; 

15 (bb) include local organiza16 tions or clinical service providers 

17 with expertise in furnishing sup18 port services (including treat19 ment) to prevent or mitigate the 

20 effects of trauma; 

21 (cc) may be partnerships 

22 that co-locate services, such as by 

23 providing services at school-based 

24 health centers; and 


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1 (dd) are designed to make 

2 such quick referrals, and ensure 

3 the receipt of screening and sup4 port, described in subclause (I); 

5 (iii) large-scale interventions for un6 derserved communities that have faced 

7 trauma through acute or long-term expo8 sure to substantial discrimination, histor9 ical or cultural oppression, intergenera10 tional poverty, civil unrest, or a high rate 

11 of violence; 

12 (iv) multigenerational interventions 

13 to— 

14 (I) support, including through 

15 skills building, parents (including ex16 pecting parents), guardians, adult 

17 caregivers, and educators in fostering 

18 safe, stable, and nurturing environ19 ments and relationships that prevent 

20 and mitigate trauma for children and 

21 youth who have experienced or are at 

22 risk of experiencing trauma; 

23 (II) assist parents and guardians 

24 in learning to access resources related 


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1 to such prevention and mitigation; 

2 and 

3 (III) provide tools to prevent and 

4 address caregiver or secondary trau5 ma, as appropriate; 

6 (v) assisting parents and guardians in 

7 understanding eligibility for and obtaining 

8 certain health benefits coverage, including 

9 coverage under a State Medicaid plan 

10 under title XIX of the Social Security Act 

11 (42 U.S.C. 1396 et seq.) of screening and 

12 treatment for children and youth, and their 

13 families as appropriate, who have experi14 enced or are at risk of experiencing trau15 ma; 

16 (vi) utilizing subclinical providers (in17 cluding peers through peer support models, 

18 mentors, clergy, and other community fig19 ures), to— 

20 (I) expeditiously link children 

21 and youth, and their families as ap22 propriate, who have experienced or 

23 are at risk of experiencing trauma, to 

24 the appropriate trauma-informed 


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1 screening and support (including clin2 ical treatment) services; and 

3 (II) provide ongoing care or case 

4 management services; 

5 (vii) collecting and utilizing data from 

6 screenings, referrals, or the provision of 

7 services and supports, conducted in the 

8 covered settings, to evaluate and improve 

9 processes for trauma-informed support and 

10 outcomes; 

11 (viii)(I) improving disciplinary prac12 tices in early childhood education and care 

13 settings and schools, including use of posi14 tive disciplinary strategies that are effec15 tive at reducing the incidence of punitive 

16 school disciplinary actions, including school 

17 suspensions and expulsions; and 

18 (II) providing the training described 

19 in clause (i) to child care providers and to 

20 school personnel, including school resource 

21 officers, teacher assistants, administrators, 

22 and heads of charter schools; and 

23 (ix) incorporating trauma-informed 

24 considerations into educational, preservice, 

25 and continuing education opportunities, for 


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1 the use of health professional organiza2 tions, national and State accreditation bod3 ies for health care providers, health profes4 sional schools, and other relevant training 

5 and educational entities; 

6 (E) recommend best practices that— 

7 (i) can be applied across underserved 

8 geographic areas; and 

9 (ii) engage entire organizations in 

10 training and skill building related to the 

11 best practices; and 

12 (F) recommend best practices that are de13 signed not to lead to unwarranted custody loss 

14 or criminal penalties for parents or guardians 

15 in connection with children and youth who have 

16 experienced or are at risk of experiencing trau17 ma. 

18 (e) AUTHORIZATION OF APPROPRIATIONS.—To carry 

19 out this section, there are authorized to be appropriated 

20 $3,000,000 for fiscal year 2017 and $1,000,000 for each 

21 of fiscal years 2018 through 2021. 

22 (f) DEFINITIONS.—In this section: 

23 (1) COVERED RECIPIENT.—The term ‘‘covered 

24 recipient’’ means a department or other entity de25 scribed in subsection (c)(1)(B). 


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

2 setting’’ means a setting described in subsection 

3 (d)(1)(C). 

4 SEC. 102. DONALD J. COHEN NATIONAL CHILD TRAUMATIC 

5 STRESS INITIATIVE. 

6 Section 582(f) of the Public Health Service Act (42 

7 U.S.C. 290hh–1(f)) is amended by striking ‘‘$50,000,000 

8 for fiscal year 2001, and such sums as may be necessary 

9 for each of fiscal years 2003 through 2006.’’ and inserting 

10 ‘‘$70,000,000 for each of fiscal years 2017 through 2021. 

11 Of the amounts appropriated under this subsection for 

12 each of fiscal years 2017 through 2021, $7,500,000 shall 

13 be allocated to the operation of the coordinating center 

14 of the National Child Traumatic Stress Initiative for pur15 poses of gathering and reporting data, evaluating models, 

16 and providing technical assistance.’’. 

17 TITLE II—DISSEMINATION AND 

18 IMPLEMENTATION OF BEST 

19 PRACTICES 

20 SEC. 201. USE OF GRANT FUNDS FOR TRAINING IN BEST 

21 PRACTICES RELATING TO CHILD AND YOUTH 

22 TRAUMA AND COMMUNITY SUPPORT. 

23 (a) HEAD START ACT.— 

24 (1) IN GENERAL.—Section 640(a) of the Head 

25 Start Act (42 U.S.C. 9835(a)) is amended— 


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1 (A) by redesignating paragraph (7) as 

2 paragraph (8); and 

3 (B) by inserting after paragraph (6) the 

4 following: 

5 ‘‘(7) Any of the funds allocated under this sub6 section for Head Start programs (including Early 

7 Head Start programs), for training and technical as8 sistance activities, or for collaboration grants may be 

9 used to provide training for administrators and 

10 other staff of Head Start agencies in the best prac11 tices developed under section 101 of the Trauma-In12 formed Care for Children and Families Act of 

13 2016.’’. 

14 (2) CONFORMING AMENDMENTS.— 

15 (A) Section 640(a)(2)(C)(i) of the Head 

16 Start Act (42 U.S.C. 9835(a)(2)(C)(i)), in the 

17 matter preceding subclause (I), by inserting 

18 after ‘‘training and technical assistance activi19 ties’’ the following: ‘‘(such as training in the 

20 best practices developed under section 101 of 

21 the Trauma-Informed Care for Children and 

22 Families Act of 2016)’’. 

23 (B) Sections 641A(h)(1)(B) and 645(d)(3) 

24 of the Head Start Act (42 U.S.C. 


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1 9836a(h)(1)(B), 9840(d)(3)) are amended by 

2 striking ‘‘640(a)(7)’’ and inserting ‘‘640(a)(8)’’. 

3 (C) Section 642B(a)(2)(B)(i) of the Head 

4 Start Act (42 U.S.C. 9837b(a)(2)(B)(i)) is 

5 amended by inserting before the semicolon the 

6 following: ‘‘(such as by providing training for 

7 administrators and other staff of those agencies 

8 in the best practices developed under section 

9 101 of the Trauma-Informed Care for Children 

10 and Families Act of 2016)’’. 

11 (D) Section 648 of the Head Start Act (42 

12 U.S.C. 9843) is amended— 

13 (i) in subsection (a)(3)(B)(i), by in14 serting after ‘‘systems’’ the following: 

15 ‘‘(such as systems that include training in 

16 the best practices developed under section 

17 101 of the Trauma-Informed Care for 

18 Children and Families Act of 2016)’’; 

19 (ii) in subsection (b)(2)(C), by insert20 ing before the semicolon the following: 

21 ‘‘(such as training in the best practices de22 veloped under section 101 of the Trauma23 Informed Care for Children and Families 

24 Act of 2016)’’; and 


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1 (iii) in subsection (d)(1)(G), by insert2 ing after ‘‘staff training’’ the following 

3 ‘‘(such as training in the best practices de4 veloped under section 101 of the Trauma5 Informed Care for Children and Families 

6 Act of 2016)’’. 

7 (b) CHILD CARE AND DEVELOPMENT BLOCK

8 GRANT.—Section 658B of the Child Care and Develop9 ment Block Grant Act of 1990 (42 U.S.C. 9858) is 

10 amended— 

11 (1) by striking ‘‘There’’ and inserting the fol12 lowing: 

13 ‘‘(a) IN GENERAL.—There’’; and 

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

15 ‘‘(b) BEST PRACTICES.—Any of the funds appro16 priated under this section may be used to provide training 

17 in the best practices developed under section 101 of the 

18 Trauma-Informed Care for Children and Families Act of 

19 2016 for administrators of child care programs, and child 

20 care providers, that receive assistance under this sub21 chapter.’’. 

22 (c) SOCIAL SERVICES BLOCK GRANT.—Section 

23 2002(a)(2)(B) of the Social Security Act (42 U.S.C. 

24 1397a(a)(2)(B)) is amended— 


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1 (1) in clause (ii), by striking ‘‘and’’ after the 

2 semicolon; 

3 (2) in clause (iii), by striking the period at the 

4 end and inserting ‘‘; and’’; and 

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

6 clause: 

7 ‘‘(iv) training for providers in the best 

8 practices developed under section 101 of 

9 the Trauma-Informed Care for Children 

10 and Families Act of 2016.’’. 

11 (d) MATERNAL AND CHILD HEALTH SERVICES

12 BLOCK GRANT.—Section 504 of the Social Security Act 

13 (42 U.S.C. 704) is amended by adding at the end the fol14 lowing new subsection: 

15 ‘‘(e) A State may use a portion of the amounts de16 scribed in subsection (a) for the purpose of providing 

17 training for licensed health care providers and public 

18 health agencies in the best practices developed under sec19 tion 101 of the Trauma-Informed Care for Children and 

20 Families Act of 2016.’’. 

21 (e) MATERNAL, INFANT, AND EARLY CHILDHOOD

22 HOME VISITING (MIECHV).—Section 511(i)(2) of the 

23 Social Security Act (42 U.S.C. 711(i)(2)) is amended— 


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1 (1) by redesignating subparagraphs (D) 

2 through (G) as subparagraphs (E) through (H), re3 spectively; and 

4 (2) by inserting after subparagraph (C) the fol5 lowing new subparagraph: 

6 ‘‘(D) Section 504(e) (relating to the use of 

7 funds for training in the best practices devel8 oped under section 101 of the Trauma-In9 formed Care for Children and Families Act of 

10 2016).’’. 

11 (f) CHILD WELFARE SERVICES.—Section 

12 422(b)(4)(B) of the Social Security Act (42 U.S.C. 

13 622(b)(4)(B)) is amended by inserting before the semi14 colon ‘‘(which may include training in the best practices 

15 developed under section 101 of the Trauma-Informed Care 

16 for Children and Families Act of 2016)’’. 

17 (g) TANF.—Section 404 of the Social Security Act 

18 (42 U.S.C. 604) is amended by adding at the end the fol19 lowing new subsection: 

20 ‘‘(l) USE OF FUNDS FOR TRAINING IN TRAUMA-IN21 FORMED BEST PRACTICES.—A State to which a grant is 

22 made under section 403 may use the grant to provide 

23 training for State and local officials responsible for admin24 istering the State program funded under this part in the 


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1 best practices developed under section 101 of the Trauma2 Informed Care for Children and Families Act of 2016.’’. 

3 (h) FEDERAL PAYMENTS FOR FOSTER CARE AND

4 ADOPTION ASSISTANCE.—Section 474(a)(3)(A) of the So5 cial Security Act (42 U.S.C. 674(a)(3)(A)) is amended by 

6 inserting ‘‘, and including training in the best practices 

7 developed under section 101 of the Trauma-Informed Care 

8 for Children and Families Act of 2016’’ after ‘‘enrolled 

9 in such institutions’’. 

10 (i) HEALTHY START INITIATIVE.—Section 330H(e) 

11 of the Public Health Service Act (42 U.S.C. 254c–8(e)) 

12 is amended by adding at the end the following: 

13 ‘‘(3) TRAINING PROVIDERS IN BEST PRACTICES

14 RELATING TO TRAUMA.—Any of the funds appro15 priated under paragraph (1) may be used to provide 

16 training for providers in the best practices developed 

17 under section 101 of the Trauma-Informed Care for 

18 Children and Families Act of 2016.’’. 

19 (j) BLOCK GRANTS FOR COMMUNITY MENTAL

20 HEALTH SERVICES.—Section 1920 of the Public Health 

21 Service Act (42 U.S.C. 300x–9) is amended by adding at 

22 the end the following: 

23 ‘‘(c) TRAINING PROVIDERS IN BEST PRACTICES RE24 LATING TO TRAUMA.—Any of the funds appropriated 

25 under subsection (a) may be used to provide training for 


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1 providers in the best practices developed under section 101 

2 of the Trauma-Informed Care for Children and Families 

3 Act of 2016.’’. 

4 (k) BLOCK GRANTS FOR PREVENTION AND TREAT5 MENT OF SUBSTANCE ABUSE.—Section 1935 of the Pub6 lic Health Service Act (42 U.S.C. 300x–35) is amended 

7 by adding at the end the following: 

8 ‘‘(c) ALLOCATIONS FOR TRAINING PROVIDERS IN

9 BEST PRACTICES RELATING TO TRAUMA.—Any of the 

10 funds appropriated under subsection (a) may be used to 

11 provide training for providers in the best practices devel12 oped under section 101 of the Trauma-Informed Care for 

13 Children and Families Act of 2016.’’. 

14 (l) USE OF GRANT FUNDS FOR TRAINING PRO15 VIDERS IN BEST PRACTICES RELATING TO TRAUMA.— 

16 (1) SCHOOL-BASED HEALTH CENTERS.—Sec17 tion 399Z–1(l) of the Public Health Service Act (42 

18 U.S.C. 280h–5(l)) is amended by adding ‘‘Any of 

19 the funds appropriated under this subsection may be 

20 used to provide training for providers in the best 

21 practices developed under section 101 of the Trau22 ma-Informed Care for Children and Families Act of 

23 2016.’’ after the first sentence. 

24 (2) COMMUNITY HEALTH CENTERS.—Section 

25 330(r) of the Public Health Service Act (42 U.S.C. 


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1 254b(r)) is amended by adding at the end the fol2 lowing: 

3 ‘‘(5) TRAINING PROVIDERS IN BEST PRACTICES

4 RELATING TO TRAUMA.—Any of the funds appro5 priated under this subsection may be used to provide 

6 training for providers in the best practices developed 

7 under section 101 of the Trauma-Informed Care for 

8 Children and Families Act of 2016.’’. 

9 (m) SUPPORTING EFFECTIVE INSTRUCTION; LOCAL

10 USE OF FUNDS.—Section 2103(b)(3) of the Elementary 

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

12 6613(b)(3)) is amended— 

13 (1) in subparagraph (O), by striking ‘‘and’’ 

14 after the semicolon; 

15 (2) by redesignating subparagraph (P) as sub16 paragraph (Q); and 

17 (3) by inserting after subparagraph (O) the fol18 lowing: 

19 ‘‘(P) providing training for school per20 sonnel, including teachers, principals, other 

21 school leaders, specialized instructional support 

22 personnel, and paraprofessionals, in the best 

23 practices developed under section 101 of the 

24 Trauma-Informed Care for Children and Fami25 lies Act of 2016; and’’. 


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1 (n) STUDENT SUPPORT AND ACADEMIC ENRICH2 MENT.— 

3 (1) STATE USE OF FUNDS.—Section 4104(b) of 

4 the Elementary and Secondary Education Act of 

5 1965 (20 U.S.C. 7114(b)) is amended— 

6 (A) in paragraph (2), by striking ‘‘or’’ at 

7 the end; 

8 (B) in paragraph (3) by striking the period 

9 at the end and inserting ‘‘; or’’; and 

10 (C) by adding at the end the following: 

11 ‘‘(4) providing training for teachers, adminis12 trators, school counselors, mental health profes13 sionals, and other appropriate personnel in the best 

14 practices developed under section 101 of the Trau15 ma-Informed Care for Children and Families Act of 

16 2016.’’. 

17 (2) LOCAL USE OF FUNDS.—Paragraph (5) of 

18 section 4108 of the Elementary and Secondary Edu19 cation Act of 1965 (20 U.S.C. 7118) is amended— 

20 (A) in subparagraph (H), by striking ‘‘or’’ 

21 at the end; 

22 (B) in subparagraph (I), by striking the 

23 period at the end and inserting ‘‘; or’’; and 

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


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1 ‘‘(J) providing training for teachers, ad2 ministrators, school counselors, mental health 

3 professionals, and other appropriate personnel 

4 in the best practices developed under section 

5 101 of the Trauma-Informed Care for Children 

6 and Families Act of 2016.’’. 

7 (o) 21ST CENTURY COMMUNITY LEARNING CEN8 TERS.— 

9 (1) STATE USE OF FUNDS.—Section 4202(c)(3) 

10 of the Elementary and Secondary Education Act of 

11 1965 (20 U.S.C. 7172(c)(3)) is amended— 

12 (A) by redesignating subparagraphs (H), 

13 (I), and (G), as subparagraphs (G), (H), and 

14 (I), respectively; and 

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

16 ‘‘(J) Providing training for teachers, ad17 ministrators, school counselors, mental health 

18 professionals, and other appropriate personnel 

19 (including appropriate personnel involved with 

20 programs and activities that advance student 

21 academic achievement and support student suc22 cess during nonschool hours) in the best prac23 tices developed under section 101 of the Trau24 ma-Informed Care for Children and Families 

25 Act of 2016.’’. 


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1 (2) LOCAL USE OF FUNDS.—Section 4205(a) of 

2 the Elementary and Secondary Education Act of 

3 1965 (20 U.S.C. 7175(a)) is amended— 

4 (A) in paragraph (13), by striking ‘‘and’’ 

5 at the end; 

6 (B) in paragraph (14), by striking the pe7 riod at the end and inserting ‘‘; and’’; and 

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

9 ‘‘(15) training for teachers, administrators, 

10 school counselors, mental health professionals, and 

11 other appropriate personnel in the best practices de12 veloped under section 101 of the Trauma-Informed 

13 Care for Children and Families Act of 2016.’’. 

14 (p) FULL-SERVICE COMMUNITY SCHOOLS.—Section 

15 4625(e) of the Elementary and Secondary Education Act 

16 of 1965 (20 U.S.C. 7275(e)) is amended— 

17 (1) in paragraph (2), by striking ‘‘and’’ after 

18 the semicolon; 

19 (2) by redesignating paragraph (3) as para20 graph (4); and 

21 (3) by inserting after paragraph (2) the fol22 lowing: 

23 ‘‘(3) provide training for teachers, administra24 tors, school counselors, mental health professionals, 

25 and other appropriate personnel (including approVerDate Sep 11 2014 23:30 Dec 09, 2016 Jkt 069200 PO 00000 Frm 00027 Fmt 6652 Sfmt 6201 E:\BILLS\S3519.IS S3519

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1 priate personnel involved with the full-service com2 munity school) in the best practices developed under 

3 section 101 of the Trauma-Informed Care for Chil4 dren and Families Act of 2016; and’’. 

5 (q) NATIONAL ACTIVITIES FOR SCHOOLS.—Section 

6 4631(a)(1)(B) of the Elementary and Secondary Edu7 cation Act of 1965 (20 U.S.C. 7281(a)(1)(B)) is amended 

8 by striking ‘‘or conducting a national evaluation.’’ and in9 serting ‘‘, conducting a national evaluation, or providing 

10 training for teachers, administrators, school counselors, 

11 mental health professionals, and other appropriate per12 sonnel in the best practices developed under section 101 

13 of the Trauma-Informed Care for Children and Families 

14 Act of 2016.’’. 

15 (r) IDEA.—Section 638 of the Individuals with Dis16 abilities Education Act (20 U.S.C. 1438) is amended— 

17 (1) in paragraph (4), by striking ‘‘and’’ after 

18 the semicolon; 

19 (2) in paragraph (5), by striking the period at 

20 the end and inserting ‘‘; and’’; and 

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

22 ‘‘(6) to provide training for appropriate per23 sonnel who provide direct early intervention services 

24 for infants and toddlers with disabilities in the best 

25 practices developed under section 101 of the TrauVerDate Sep 11 2014 23:30 Dec 09, 2016 Jkt 069200 PO 00000 Frm 00028 Fmt 6652 Sfmt 6201 E:\BILLS\S3519.IS S3519

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1 ma-Informed Care for Children and Families Act of 

2 2016.’’. 

3 (s) SPECIAL SUPPLEMENTAL NUTRITION PROGRAM

4 FOR WOMEN, INFANTS, AND CHILDREN.—Section 17(f) 

5 of the Child Nutrition Act of 1966 (42 U.S.C. 1786(f)) 

6 is amended by adding at the end the following: 

7 ‘‘(27) BEST PRACTICES.—A State agency may 

8 use a portion of the amounts made available to the 

9 State agency under this section for the purpose of 

10 providing training for local agencies in the best prac11 tices developed under section 101 of the Trauma-In12 formed Care for Children and Families Act of 

13 2016.’’. 

14 (t) COMMUNITY SERVICES BLOCK GRANT ACT.— 

15 (1) STATE ACTIVITIES.—Section 675C(b)(1)(A) 

16 of the Community Services Block Grant Act (42 

17 U.S.C. 9907(b)(1)(A)) is amended by inserting after 

18 ‘‘providing training’’ the following: ‘‘(which may in19 clude providing training, to the entities that are pro20 viders of services to children and youth, in the best 

21 practices developed under section 101 of the Trau22 ma-Informed Care for Children and Families Act of 

23 2016)’’. 

24 (2) NATIONAL ACTIVITIES.—Section 

25 678A(a)(1)(A) of the Community Services Block 


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1 Grant Act (42 U.S.C. 9913(a)(1)(A)) is amended by 

2 inserting after ‘‘training’’ the following: ‘‘(which may 

3 include providing training, to the entities that are 

4 providers of services to children and youth, in the 

5 best practices developed under section 101 of the 

6 Trauma-Informed Care for Children and Families 

7 Act of 2016)’’. 

8 (u) RUNAWAY AND HOMELESS YOUTH ACT.—Sec9 tion 342 of the Runaway and Homeless Youth Act (42 

10 U.S.C. 5714–22) is amended by inserting after ‘‘technical 

11 assistance and training’’ the following: ‘‘(which may in12 clude providing training, to providers of services under 

13 this title, in the best practices developed under section 101 

14 of the Trauma-Informed Care for Children and Families 

15 Act of 2016)’’. 

16 (v) PROGRAMS OF THE OFFICE OF REFUGEE RESET17 TLEMENT.—Section 462(b)(1) of the Homeland Security 

18 Act of 2002 (6 U.S.C. 279(b)(1)) is amended— 

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

20 the end; 

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

22 and inserting ‘‘; and’’; and 

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

24 ‘‘(M) at the election of the Director, pro25 viding training, to providers responsible for the 


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1 care of the unaccompanied alien children, in the 

2 best practices developed under section 101 of 

3 the Trauma-Informed Care for Children and 

4 Families Act of 2016.’’. 

5 (w) FAMILY VIOLENCE PREVENTION AND SERVICES

6 ACT.— 

7 (1) PREVENTION AND SUPPORTIVE SERVICES.— 

8 Section 308(b)(1)(D) of the Family Violence Preven9 tion and Services Act (42 U.S.C. 10408(b)(1)(D)) is 

10 amended by inserting before the semicolon the fol11 lowing: ‘‘, and provision of training to providers in 

12 the best practices developed under section 101 of the 

13 Trauma-Informed Care for Children and Families 

14 Act of 2016’’. 

15 (2) NATIONAL RESOURCE CENTER.—Section 

16 310(b)(1)(A)(i) of the Family Violence Prevention 

17 and Services Act (42 U.S.C. 10410(b)(1)(A)(i)) is 

18 amended by inserting before the semicolon the fol19 lowing: ‘‘, and which may offer training related to 

20 the best practices developed under section 101 of the 

21 Trauma-Informed Care for Children and Families 

22 Act of 2016’’. 


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1 SEC. 202. 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 State, local, and tribal law enforcement agencies in 

10 interacting with children and youth who have been 

11 exposed to violence or other trauma, and their fami12 lies as appropriate. 

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

14 the age range of children and youth to be covered 

15 by the activities of the Center. 

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

17 State, local, and tribal law enforcement agencies by— 

18 (1) disseminating information on the best prac19 tices for law enforcement officers developed under 

20 section 101, which may include best practices based 

21 on evidence-based and evidence-informed models 

22 from programs of the Department of Justice and the 

23 Office of Justice Services of the Bureau of Indian 

24 Affairs, 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, de-escalation, and crisis 

7 intervention training; 

8 (ii) early interventions that link child 

9 and youth witnesses and victims, and their 

10 families as appropriate, to appropriate 

11 trauma-informed services; and 

12 (iii) supporting officers who experi13 ence secondary trauma; 

14 (2) providing professional training and technical 

15 assistance; and 

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

17 (c) GRANT PROGRAM.— 

18 (1) IN GENERAL.—The Attorney General, act19 ing through the Center, may award grants to State, 

20 local, and tribal law enforcement agencies or to mul21 tidisciplinary consortia to— 

22 (A) enhance the awareness of best prac23 tices developed under section 101 for trauma24 informed responses to children and youth who 


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1 have been exposed to violence or other trauma, 

2 and their families as 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 the best practices developed under sec16 tion 101, including how to identify early signs 

17 of trauma and violence exposure when inter18 acting with children and youth; and 

19 (B) establish, operate, and evaluate a re20 ferral and partnership program with clinical 

21 mental health or social service professionals in 

22 the community in which the law enforcement 

23 agency serves. 


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1 (d) AUTHORIZATION OF APPROPRIATIONS.—There 

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

4 (1) $15,000,000 for each of fiscal years 2017 

5 through 2021 to award grants under subsection (c); 

6 and 

7 (2) $2,000,000 for each of fiscal years 2017 

8 through 2021 for other activities of the Center. 

9 SEC. 203. GRANTS TO IMPROVE TRAUMA SUPPORT SERV10 ICES AND MENTAL HEALTH CARE FOR CHIL11 DREN AND YOUTH IN EDUCATIONAL SET12 TINGS. 

13 Part A of title IV of the Elementary and Secondary 

14 Education Act of 1965 (20 U.S.C. 7101 et seq.) is amend15 ed by adding at the end the following: 

16 ‘‘Subpart 3—Grants To Improve Trauma Support 

17 Services and Mental Health Care for Children 

18 and Youth in Educational Settings 

19 ‘‘SEC. 4131. GRANTS TO IMPROVE TRAUMA SUPPORT SERV20 ICES AND MENTAL HEALTH CARE FOR CHIL21 DREN AND YOUTH IN EDUCATIONAL SET22 TINGS. 

23 ‘‘(a) GRANTS, CONTRACTS, AND COOPERATIVE

24 AGREEMENTS AUTHORIZED.—The Secretary is authorized 

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


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1 agreements with, State educational agencies, local edu2 cational agencies, Indian tribes or their tribal educational 

3 agencies, a school operated by the Bureau of Indian Edu4 cation, or a Regional Corporation (as defined in section 

5 3 of the Alaska Native Claims Settlement Act (43 U.S.C. 

6 1602)) for the purpose of increasing student access to 

7 quality trauma support services and mental health care 

8 by developing innovative programs to link local school sys9 tems with local trauma-informed support and mental 

10 health systems, including those under the Indian Health 

11 Service. 

12 ‘‘(b) DURATION.—With respect to a grant, contract, 

13 or cooperative agreement awarded or entered into under 

14 this section, the period during which payments under such 

15 grant, contract or agreement are made to the recipient 

16 may not exceed 5 years. 

17 ‘‘(c) USE OF FUNDS.—An entity that receives a 

18 grant, contract, or cooperative agreement under this sec19 tion shall use amounts made available through such grant, 

20 contract, or cooperative agreement for any of the fol21 lowing: 

22 ‘‘(1) To enhance, improve, or develop collabo23 rative efforts between school-based service systems 

24 and trauma-informed support and mental health 

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1 vention, screening, referral, and treatment services 

2 to students. 

3 ‘‘(2) To enhance the availability of trauma sup4 port services and school-based counseling programs, 

5 as well as provide appropriate referrals for students 

6 potentially in need of mental health services, and on7 going mental health services. 

8 ‘‘(3) To provide universal trauma screenings to 

9 identify students in need of specialized support. 

10 ‘‘(4) To implement multi-tiered positive behav11 ioral interventions and supports, or other trauma-in12 formed models of support. 

13 ‘‘(5) To provide training to teachers, teacher 

14 assistants, and other appropriate school personnel to 

15 develop safe, stable, and nurturing learning environ16 ments that prevent and mitigate the effects of trau17 ma, including through social and emotional learning. 

18 ‘‘(6) To provide training and professional devel19 opment for the school personnel and mental health 

20 professionals to improve school capacity to identify, 

21 refer, and provide services, as appropriate, to stu22 dents in need of trauma support or behavioral health 

23 services. 

24 ‘‘(7) To provide technical assistance and con25 sultation to school systems and mental health agenVerDate Sep 11 2014 23:30 Dec 09, 2016 Jkt 069200 PO 00000 Frm 00037 Fmt 6652 Sfmt 6201 E:\BILLS\S3519.IS S3519

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1 cies as well as to families participating in the pro2 gram carried out under this section. 

3 ‘‘(8) To provide linguistically appropriate and 

4 culturally competent services. 

5 ‘‘(9) To evaluate the effectiveness of the pro6 gram carried out under this section in increasing 

7 student access to quality trauma support services 

8 and mental health care, and make recommendations 

9 to the Secretary about the sustainability of the pro10 gram. 

11 ‘‘(10) To engage and utilize expertise provided 

12 by institutions of higher education, such as a Tribal 

13 College or University, as defined in section 316(b) of 

14 the Higher Education Act of 1965. 

15 ‘‘(11) To provide trainings and implement pro16 cedures pursuant to the relevant best practices de17 veloped under section 101 of the Trauma-Informed 

18 Care for Children and Families Act of 2016. 

19 ‘‘(d) APPLICATIONS.—To be eligible to receive a 

20 grant, contract, or cooperative agreement under this sec21 tion, an entity described in subsection (a) shall submit an 

22 application to the Secretary at such time, in such manner, 

23 and containing such information as the Secretary may rea24 sonably require, such as the following: 


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1 ‘‘(1) A description of the program to be funded 

2 under the grant, contract, or cooperative agreement. 

3 ‘‘(2) A description of how such program will in4 crease access to quality trauma support services and 

5 mental health care for students. 

6 ‘‘(3) A description of how the applicant will es7 tablish trauma support services or a school-based 

8 counseling program, or both, that provide immediate 

9 prevention and mental health services to the school 

10 community as necessary. 

11 ‘‘(4) An assurance that— 

12 ‘‘(A) persons providing services under the 

13 grant, contract, or cooperative agreement are 

14 adequately trained to provide such services; 

15 ‘‘(B) the services will be provided in ac16 cordance with subsection (c); 

17 ‘‘(C) teachers, administrators, parents or 

18 guardians, representatives of local Indian tribes, 

19 and other school personnel are aware of the 

20 program; and 

21 ‘‘(D) parents or guardians of students par22 ticipating in services under this section will be 

23 engaged and involved in the design and imple24 mentation of the services. 


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1 ‘‘(5) An assurance that the applicant will sup2 port and integrate existing school-based services 

3 with the program in order to provide appropriate 

4 mental health services for students. 

5 ‘‘(6) An assurance that the applicant will estab6 lish a program that will support students and the 

7 school in improving the school climate in order to 

8 support an environment conducive to learning. 

9 ‘‘(e) INTERAGENCY AGREEMENTS.— 

10 ‘‘(1) DESIGNATION OF LEAD AGENCY.—A re11 cipient of a grant, contract, or cooperative agree12 ment under this section shall designate a lead agen13 cy to direct the establishment of an interagency 

14 agreement among local educational agencies, juvenile 

15 justice authorities, mental health agencies, and other 

16 relevant entities in the State, in collaboration with 

17 local entities, such as Indian tribes. 

18 ‘‘(2) CONTENTS.—The interagency agreement 

19 shall ensure the provision of the services described 

20 in subsection (c), specifying with respect to each 

21 agency, authority, or entity— 

22 ‘‘(A) the financial responsibility for the 

23 services; 

24 ‘‘(B) the conditions and terms of responsi25 bility for the services, including quality, acVerDate Sep 11 2014 23:30 Dec 09, 2016 Jkt 069200 PO 00000 Frm 00040 Fmt 6652 Sfmt 6201 E:\BILLS\S3519.IS S3519

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1 countability, and coordination of the services; 

2 and 

3 ‘‘(C) the conditions and terms of reim4 bursement among the agencies, authorities, or 

5 entities that are parties to the interagency 

6 agreement, including procedures for dispute 

7 resolution. 

8 ‘‘(f) EVALUATION.—The Secretary shall evaluate 

9 each program carried out under this section and shall dis10 seminate the findings with respect to each such evaluation 

11 to appropriate public, tribal, and private entities. 

12 ‘‘(g) DISTRIBUTION OF AWARDS.—The Secretary 

13 shall ensure that grants, contracts, and cooperative agree14 ments awarded or entered into under this section are equi15 tably distributed among the geographical regions of the 

16 United States and among tribal, urban, suburban, and 

17 rural populations. 

18 ‘‘(h) RULE OF CONSTRUCTION.—Nothing in this sec19 tion shall be construed— 

20 ‘‘(1) to prohibit an entity involved with a pro21 gram carried out under this section from reporting 

22 a crime that is committed by a student to appro23 priate authorities; or 

24 ‘‘(2) to prevent State and tribal law enforce25 ment and judicial authorities from exercising their 


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1 responsibilities with regard to the application of 

2 Federal, tribal, and State law to crimes committed 

3 by a student. 

4 ‘‘(i) SUPPLEMENT, NOT SUPPLANT.—Any services 

5 provided through programs carried out under this section 

6 shall supplement, and not supplant, existing mental health 

7 services, including any services required to be provided 

8 under the Individuals with Disabilities Education Act. 

9 ‘‘(j) CONSULTATION WITH INDIAN TRIBES.—In car10 rying out subsection (a), the Secretary shall, in a timely 

11 manner, meaningfully consult, engage, and cooperate with 

12 Indian tribes and their representatives to ensure notice of 

13 eligibility. 

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

15 is authorized to be appropriated to carry out this section 

16 $6,000,000 for the period of fiscal years 2017 through 

17 2022.’’. 

18 TITLE III—UNDERSTANDING 

19 THE SCOPE OF TRAUMA EX20 POSURE 

21 SEC. 301. CDC SURVEILLANCE AND DATA COLLECTION FOR 

22 CHILD, YOUTH, AND ADULT TRAUMA. 

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

24 for Disease Control and Prevention (referred to in this 

25 section as the ‘‘Director’’) shall authorize and encourage 


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1 States to collect and report data on adverse childhood ex2 periences through the Behavioral Risk Factor Surveillance 

3 System and the Youth Risk Behavior Surveillance System. 

4 In collecting and reporting such data, States shall use the 

5 appropriate modules developed under section 302(2)(B), 

6 in addition to other appropriate modules. 

7 (b) TIMING.—The collection of data authorized under 

8 subsection (a) may occur in fiscal year 2019 and every 

9 2 years thereafter. 

10 (c) DATA FROM TRIBAL AND RURAL AREAS.—The 

11 Director shall require that each State, in collecting data 

12 in accordance with subsection (a), ensure that, as appro13 priate, data from tribal and rural areas within such State 

14 is included by oversampling from such areas. 

15 (d) AUTHORIZATION OF APPROPRIATIONS.—To carry 

16 out this section, there are authorized to be appropriated 

17 $64,000,000 for the period of fiscal years 2019 through 

18 2021. 

19 SEC. 302. CDC ANALYSIS OF CHILD, YOUTH, AND ADULT 

20 TRAUMA. 

21 The Secretary of Health and Human Services, acting 

22 through the Director of the Centers for Disease Control 

23 and Prevention, shall— 

24 (1) conduct an analysis of— 


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1 (A) the prevalence of child, youth, and 

2 adult trauma experienced in the United States, 

3 including assessments of the types of the most 

4 prominent adverse childhood experiences, and 

5 disparities by race and ethnicity, by geographic 

6 distribution, and by socioeconomic status; 

7 (B) the public health impact of the scope 

8 of exposure to adverse childhood experiences, 

9 including whether such scope of exposure to ad10 verse childhood experiences constitutes a public 

11 health epidemic; 

12 (C) modules that measure and assess ad13 verse childhood experiences, for development 

14 and ultimate inclusion in the Youth Risk Be15 havior Surveillance System; and 

16 (D) outcomes modules that measure and 

17 evaluate the utilization and efficacy of trauma18 informed interventions, such as mental health 

19 services or other clinical or sub-clinical care, for 

20 ultimate inclusion in the Youth Risk Behavior 

21 Surveillance System and the Behavioral Risk 

22 Factor Surveillance System; and 

23 (2) not later than 1 year after the date of en24 actment of this Act, submit to Congress a report on 


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1 the analysis under paragraph (1) that includes rec2 ommendations on— 

3 (A) what communities can do to prevent 

4 adverse childhood experiences and how Indian 

5 tribes, social service providers, law enforcement, 

6 health care practitioners, public health agencies, 

7 educational institutions, and other community 

8 stakeholders may collaborate to improve efforts 

9 to identify, connect to appropriate services, and 

10 provide treatment and support for children and 

11 youth, and their families as appropriate, who 

12 have experienced or are at risk of experiencing 

13 trauma; 

14 (B) modules for inclusion in the appro15 priate surveillance systems, as described in sub16 paragraphs (C) and (D) of paragraph (1); and 

17 (C) how the Centers for Disease Control 

18 and Prevention can utilize data collected 

19 through surveillance systems to target specific 

20 populations or geographic locations with a high 

21 incidence of measured Adverse Childhood Expe22 riences, including by considering such data 

23 when awarding grants and contracts to entities 

24 serving such populations or locations. 


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1 SEC. 303. GOVERNMENT ACCOUNTABILITY STUDY ON BAR2 RIERS TO AND OPPORTUNITIES FOR TRAU3 MA-INFORMED IDENTIFICATION AND TREAT4 MENT. 

5 (a) STUDY.— 

6 (1) IN GENERAL.—The Comptroller General 

7 shall conduct a study of the barriers to, and the op8 portunities for increasing, the early identification 

9 and treatment of children and youth, and their fami10 lies as appropriate, who have experienced or are at 

11 risk of experiencing trauma. 

12 (2) CONTENTS.—In conducting the study, the 

13 Comptroller General shall examine— 

14 (A) ways in which such identification and 

15 treatment could be facilitated in early childhood 

16 education and care settings and elementary and 

17 secondary schools, such as through improved 

18 teacher preparation, professional development, 

19 and curriculum design, and the development of 

20 the cognitive and social-emotional skills of stu21 dents; 

22 (B)(i) the extent to which State Medicaid 

23 plans use early and periodic screening, diag24 nostic, and treatment services (as defined in 

25 section 1905(r) of the Social Security Act (42 

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1 ance with the requirements of section 

2 1902(a)(43) of such Act (42 U.S.C. 

3 1396a(a)(43))) to provide trauma-informed 

4 services to children and youth, and their fami5 lies as appropriate, who have experienced or are 

6 at risk of experiencing trauma; 

7 (ii) barriers to increased utilization of such 

8 screening, diagnostic, and treatment services; 

9 and 

10 (iii) the impact of State Medicaid plan de11 sign and State regulatory decisions on the pro12 vision of such services; 

13 (C) the feasibility of, State experiences 

14 with, and considerations regarding, systematic 

15 collection and sharing of data that— 

16 (i) is carried out by health care pro17 viders, State, local, and tribal educational 

18 agencies, social service providers, law en19 forcement, and any other entity providing 

20 services in a covered setting (as defined in 

21 section 101(f)); 

22 (ii) relies on common data measures, 

23 fosters communication and coordination 

24 across covered settings (as so defined), and 


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1 promotes shared accountability for the 

2 data; and 

3 (iii) relates to the screening, referral, 

4 and support of children and youth, and 

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

7 trauma; 

8 (D) privacy and consent issues affecting 

9 identification and treatment of children and 

10 youth who have experienced or are at risk of ex11 periencing trauma, including considerations re12 garding information collected and reported by 

13 providers and regarding parental consent; 

14 (E)(i) the comprehensive, coordinated, and 

15 multisector process through which State, local, 

16 and tribal educational agencies locate, identify, 

17 and screen infants and toddlers with disabil18 ities, and children with disabilities (including 

19 such children who are youth), under the Indi20 viduals with Disabilities Education Act (20 

21 U.S.C. 1400 et seq.); and 

22 (ii) considerations, strategies, alignment 

23 opportunities, and applicability for trauma-in24 formed models for conducting such location, 

25 identification, and screening; 


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1 (F)(i) clinical pediatric mental health and 

2 child- and youth-serving social service workforce 

3 capacity, including analyzing that capacity by 

4 setting, geographic distribution, and population 

5 served; and 

6 (ii) barriers that contribute to any short7 ages in professionals in that workforce; and 

8 (G) the cost-effectiveness and success of 

9 providing services through school-based health 

10 centers as a method of— 

11 (i) addressing the needs of students 

12 who have experienced or are at risk of ex13 periencing trauma; and 

14 (ii) improving their academic achieve15 ment. 

16 (b) REPORT.—The Comptroller General shall submit 

17 a report containing the results of the study to— 

18 (1) the Committee on Appropriations, the Com19 mittee on Health, Education, Labor, and Pensions, 

20 the Committee on Finance, the Committee on Indian 

21 Affairs, and the Committee on the Judiciary of the 

22 Senate; and 

23 (2) the Committee on Appropriations, the Com24 mittee on Energy and Commerce, the Committee on 

25 Education and the Workforce, the Committee on 


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1 Ways and Means, the Committee on Natural Re2 sources, and the Committee on the Judiciary of the 

3 House of Representatives. 

4 (c) DEFINITIONS.—In this section: 

5 (1) CHILD WITH A DISABILITY.—The term 

6 ‘‘child with a disability’’ has the meaning given the 

7 term in section 602 of the Individuals with Disabil8 ities Education Act (20 U.S.C. 1401). 

9 (2) INFANT OR TODDLER WITH A DIS10 ABILITY.—The term ‘‘infant or toddler with a dis11 ability’’ has the meaning given the term in section 

12 632 of the Individuals with Disabilities Education 

13 Act (20 U.S.C. 1432). 

14 TITLE IV—EVALUATION OF NEW 

15 INTERVENTIONS AND IM16 PROVING SERVICE DELIVERY 

17 SEC. 401. CLARIFICATION OF DEFINITION OF MEDICAID 

18 EPSDT SERVICES; DEMONSTRATION 

19 PROJECT TO TEST TRAUMA-INFORMED DE20 LIVERY OF EPSDT SERVICES. 

21 (a) CLARIFICATION OF DEFINITION OF EPSDT 

22 SERVICES.—Section 1905(r) of the Social Security Act 

23 (42 U.S.C. 1396d(r)) is amended— 

24 (1) in paragraph (1)— 


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1 (A) in subparagraph (A)(ii), by inserting 

2 ‘‘(including in the immediate aftermath of expo3 sure to a traumatic event)’’ after ‘‘medically 

4 necessary’’; and 

5 (B) in subparagraph (B)(i), by inserting 

6 ‘‘and any past exposure to traumatic events’’ 

7 after ‘‘health development’’; and 

8 (2) in paragraph (5), by inserting ‘‘including 

9 any defects, illnesses, and conditions (including 

10 symptoms of a possible mental health disorder that 

11 are not sufficiently acute for a diagnosis of a clinical 

12 mental health disorder) stemming from exposure to 

13 traumatic events,’’ after ‘‘screening services,’’. 

14 (b) TRAUMA-INFORMED DELIVERY OF EPSDT 

15 SERVICES DEMONSTRATION PROJECT.— 

16 (1) IN GENERAL.—The Secretary shall make 

17 grants to States to conduct demonstration projects 

18 under title XIX of the Social Security Act (42 

19 U.S.C. 1396 et seq.) to test innovative, trauma-in20 formed approaches for delivering early and periodic 

21 screening, diagnostic, and treatment services (as de22 fined in section 1905(r) of the Social Security Act 

23 (42 U.S.C. 1396d(r))) to eligible children. 

24 (2) SCOPE AND DURATION.— 


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1 (A) SCOPE.—The Secretary shall select 10 

2 States to participate in the demonstration 

3 project. 

4 (B) SELECTION.— 

5 (i) DIVERSITY.—In selecting States to 

6 participate in the demonstration project, 

7 the Secretary shall— 

8 (I) ensure that geographically di9 verse areas, including rural and un10 derserved areas, are included; and 

11 (II) include at least 2 States in 

12 which Indian tribes or tribal organiza13 tions (as defined in section 4 of the 

14 Indian Health Care Improvement Act 

15 (25 U.S.C. 1603)) are located. 

16 (ii) PRIORITY.—In selecting States to 

17 participate in the demonstration project, 

18 the Secretary shall give priority to States 

19 that— 

20 (I) use a value-based payment 

21 methodology for paying providers for 

22 services provided under the State 

23 Medicaid program, including services 

24 related to healthy child development; 


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1 (II) use an alternative payment 

2 model under the State Medicaid pro3 gram that enables cross-sector col4 laboration, provision of trauma-in5 formed services, and supports for 

6 healthy child development; or 

7 (III) integrate information tech8 nology between child- and youth-serv9 ing sectors to improve coordination 

10 and outcomes. 

11 (C) DURATION.—The demonstration 

12 project shall begin not later than 1 year after 

13 the date of the enactment of this Act, and shall 

14 be conducted for a period of 4 years. 

15 (3) REQUIREMENTS.—To be eligible for a grant 

16 under this subsection, a State that is participating 

17 in the demonstration project shall demonstrate that 

18 it has implemented the following measures with re19 spect to the State Medicaid program: 

20 (A) The State Medicaid program allows for 

21 the provision of early and periodic screening, di22 agnostic, and treatment services— 

23 (i) in a diverse set of settings, includ24 ing schools, hospitals, primary care set25 tings, Federally-qualified health centers (as 


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1 defined in section 1905(l)(2)(B) of the So2 cial Security Act (42 U.S.C. 

3 1396d(l)(2)(B))), and tribally operated 

4 health facilities, without undue restrictions 

5 on the settings in which providers are per6 mitted to furnish such services; and 

7 (ii) by the full scope of providers that 

8 are licensed or otherwise authorized under 

9 State law to provide the services, including 

10 peers through eligible peer support serv11 ices, community health workers, or subclin12 ical case managers. 

13 (B) Where necessary to improve or pro14 mote the health of an eligible child, the State 

15 Medicaid program provides for payment for 

16 services provided to the parent of the child. 

17 (C) The State Medicaid program has pro18 cedures in place to coordinate across settings, 

19 including with law enforcement, juvenile justice 

20 agencies, schools (including preschools and 

21 after-school programs), hospitals, primary care 

22 providers, tribally operated health facilities, and 

23 child welfare providers, to ensure that eligible 

24 children who experience trauma receive the ap25 propriate services. 


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1 (D) Where appropriate, the State Medicaid 

2 program coordinates with facilities of the In3 dian Health Service (including a hospital, nurs4 ing facility, or any other type of facility which 

5 provides services of a type otherwise covered 

6 under the program) and other tribally operated 

7 health facilities to ensure eligible children have 

8 access to adequate qualified providers that are 

9 licensed or otherwise authorized under State 

10 law to furnish the services. 

11 (4) FUNDING.—Out of any funds in the Treas12 ury not otherwise appropriated, there is appro13 priated $75,000,000 for the period of fiscal years 

14 2017 through 2021 to carry out this subsection. 

15 (5) DEFINITIONS.—In this subsection: 

16 (A) DEMONSTRATION PROJECT.—The term 

17 ‘‘demonstration project’’ means the demonstra18 tion project established under this subsection. 

19 (B) ELIGIBLE CHILD.—The term ‘‘eligible 

20 child’’ means an individual who is under age 21 

21 and who is enrolled in a State plan under title 

22 XIX of the Social Security Act (42 U.S.C. 1396 

23 et seq.). 


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1 (C) SECRETARY.—The term ‘‘Secretary’’ 

2 means the Secretary of Health and Human 

3 Services. 

4 (D) STATE MEDICAID PROGRAM.—The 

5 term ‘‘State Medicaid program’’ means a State 

6 plan or waiver under title XIX of the Social Se7 curity Act (42 U.S.C. 1396 et seq.). 

8 (E) TRAUMATIC TRIGGER EVENT.—The 

9 term ‘‘traumatic trigger event’’ means a trau10 matic event experienced by a child, including— 

11 (i) sexual abuse or maltreatment; 

12 (ii) sexual assault or rape; 

13 (iii) physical abuse or maltreatment; 

14 (iv) physical assault; 

15 (v) emotional abuse or psychological 

16 maltreatment; 

17 (vi) neglect; 

18 (vii) domestic violence; 

19 (viii) war, terrorism, or political vio20 lence; 

21 (ix) illness or medical trauma; 

22 (x) accidental injury; 

23 (xi) natural disaster; 

24 (xii) kidnapping and trafficking; 


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1 (xiii) traumatic loss, separation, or be2 reavement; 

3 (xiv) forced displacement; 

4 (xv) impaired caregiver; 

5 (xvi) personal or interpersonal vio6 lence; 

7 (xvii) community violence; 

8 (xviii) school violence and bullying; 

9 and 

10 (xix) such other events as the Sec11 retary shall determine. 

12 SEC. 402. HEALTH PROFESSIONAL SHORTAGE AREAS. 

13 Section 332(a) of the Public Health Service Act (42 

14 U.S.C. 254e(a)) is amended— 

15 (1) in paragraph (2)(A), by inserting ‘‘(includ16 ing a community health center operated in an ele17 mentary or secondary school)’’ after ‘‘community 

18 health center’’; and 

19 (2) in paragraph (3)— 

20 (A) by striking ‘‘, and residents’’ and in21 serting ‘‘, residents’’; and 

22 (B) by inserting ‘‘, and a population group 

23 that the Secretary determines has experienced 

24 trauma (such as through acute or long-term ex25 posure to substantial discrimination, historical 


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1 oppression, intergenerational poverty, civil un2 rest, or a high rate of violence)’’ before ‘‘may 

3 be’’. 

4 SEC. 403. LICENSING GUIDELINES FOR COMMUNITY FIG5 URES. 

6 The Secretary of Health and Human Services, acting 

7 through the Administrator of the Agency for Healthcare 

8 Research and Quality, shall conduct a study on, and estab9 lish guidelines for States to consider with respect to, the 

10 licensing of community figures, including community men11 tors, peers with lived experiences, and faith-based leaders, 

12 to build awareness of trauma and promote linkages to 

13 community services, provide case management services, 

14 and conduct appropriate trauma-informed screening for 

15 individuals who have experienced or are at risk of experi16 encing trauma. Such licensing guidelines shall include rec17 ommendations for partnerships between such licensed 

18 community figures and other health care providers such 

19 that the licensed community figures could be reimbursed 

20 through the State Medicaid plan under title XIX of the 

21 Social Security Act (42 U.S.C. 1396 et seq.) for fur22 nishing services to individuals enrolled in such plan. 


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1 SEC. 404. TRAINING FOR HEALTH CARE WORKFORCE. 

2 Subpart I of part C of title VII of the Public Health 

3 Service Act is amended by inserting after section 747A 

4 (42 U.S.C. 293k–1) the following: 

5 ‘‘SEC. 747B. EDUCATION AND TRAINING IN TRAUMA-IN6 FORMED CARE. 

7 ‘‘(a) IN GENERAL.—The Secretary may award 

8 grants, cooperative agreements, or contracts to health pro9 fessions schools, and other public and private entities, for 

10 the development and implementation of programs to pro11 vide education and training to health care professionals 

12 in the delivery of trauma-informed care. 

13 ‘‘(b) ELIGIBILITY.—To be eligible to receive a grant, 

14 contract, or cooperative agreement under subsection (a), 

15 an entity shall— 

16 ‘‘(1) be— 

17 ‘‘(A) a health professions school; or 

18 ‘‘(B) a public or private entity determined 

19 to be appropriate by the Secretary; 

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

21 such time, in such manner, and containing such in22 formation as the Secretary may require; and 

23 ‘‘(3) enter into an agreement described in sub24 section (c). 

25 ‘‘(c) CERTAIN TOPICS.—The Secretary may award a 

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1 section (a) to an entity only if the entity agrees that the 

2 program to be implemented under the award will include 

3 information and education on— 

4 ‘‘(1) best practices developed under section 101 

5 of the Trauma-Informed Care for Children and 

6 Families Act of 2016; 

7 ‘‘(2) interdisciplinary approaches to delivering 

8 trauma-informed care; 

9 ‘‘(3) cultural, linguistic, literacy, geographic, 

10 and other barriers to care in underserved popu11 lations; and 

12 ‘‘(4) recent findings, developments, and im13 provements in the provision of trauma-informed 

14 care. 

15 ‘‘(d) EVALUATION OF PROGRAMS.—The Secretary 

16 shall (directly or through grants or contracts) provide for 

17 the evaluation of programs implemented under subsection 

18 (a) in order to determine the effect of such programs on 

19 knowledge of and practice concerning trauma-informed 

20 care. 

21 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 

22 is authorized to be appropriated to carry out this section 

23 such sums as may be necessary for each of the fiscal years 

24 2017 through 2019. Amounts appropriated under this 

25 subsection shall remain available until expended.’’. 


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1 SEC. 405. TRAUMA-RELATED COORDINATING BODIES. 

2 Part G of title V of the Public Health Service Act 

3 (42 U.S.C. 290hh et seq.) is amended by adding at the 

4 end the following: 

5 ‘‘SEC. 583. TRAUMA-RELATED COORDINATING BODIES. 

6 ‘‘(a) GRANTS.— 

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

8 through the Administrator, shall make not more 

9 than 10 grants to State, local, or tribal eligible enti10 ties to act as trauma-related coordinating bodies. 

11 ‘‘(2) AMOUNT.—The Secretary shall make such 

12 a grant in an amount of not more than $4,000,000. 

13 ‘‘(3) DURATION.—The Secretary shall make 

14 such a grant for a period of 4 years. 

15 ‘‘(b) ELIGIBLE ENTITIES.— 

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

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

18 more representatives of each of the categories de19 scribed in paragraph (2). 

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

21 in paragraph (1) are— 

22 ‘‘(A) agencies, such as public health or 

23 child welfare agencies, that provide services to 

24 prevent trauma among, identify, refer for serv25 ices, or support (including providing treatment 

26 for) children and youth, and their families as 


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1 appropriate, that have experienced or are at 

2 risk of experiencing trauma; 

3 ‘‘(B) faculty at an institution of higher 

4 education, or researchers or experts, in an area 

5 related to prevention of, identification of, refer6 ral for services for, or support (including treat7 ment) for child and youth trauma; 

8 ‘‘(C) hospitals or other health care institu9 tions; 

10 ‘‘(D) law enforcement; 

11 ‘‘(E) elementary or secondary schools, or 

12 early childhood education or care programs; 

13 ‘‘(F) providers of after-school, social serv14 ices, or home visiting programs; 

15 ‘‘(G) community organizers or faith-based 

16 providers; and 

17 ‘‘(H) the general public, including individ18 uals who have experienced trauma. 

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

20 to be eligible to receive the grant, the representatives 

21 included in the entity shall, collectively, have back22 grounds or expertise concerning a broad range of ad23 verse childhood experiences. 

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

25 under this section, an entity shall submit an application 


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1 to the Secretary at such time, in such manner, and con2 taining such information as the Secretary may require, in3 cluding information describing how the coordinating body 

4 will continue its activities after the end of the grant pe5 riod. 

6 ‘‘(d) USE OF FUNDS.—An entity that receives a 

7 grant under this section to act as a coordinating body shall 

8 use the grant funds— 

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

10 or use services in, or have expertise concerning, cov11 ered settings to identify community needs and re12 sources related to preventing trauma among, identi13 fying, referring for services, and supporting (includ14 ing providing treatment for) children and youth, and 

15 their families as appropriate, who have experienced 

16 or are at risk of experiencing trauma, and to build 

17 on any needs assessments conducted by organiza18 tions or groups represented on the coordinating 

19 body; 

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

21 by the Secretary, that covers multiple covered set22 tings; and 

23 ‘‘(B) to use the data to identify unique commu24 nity challenges, gaps in services, and high-need 

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1 fying, referring for services, and supporting (includ2 ing providing treatment for) children and youth, and 

3 their families as appropriate, who have experienced 

4 or are at risk of experiencing trauma; 

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

6 (including through trauma-informed training and 

7 public outreach campaigns) related to preventing 

8 trauma among, identifying, referring for services, 

9 and supporting (including providing treatment for) 

10 children and youth, and their families as appro11 priate, who have experienced or are at risk of experi12 encing trauma in the community; 

13 ‘‘(4) to leverage the resources of the members 

14 of the organizations and groups represented on the 

15 coordinating body, for preventing trauma among, 

16 identifying, referring for services, and supporting 

17 (including providing treatment for) children and 

18 youth, and their families as appropriate, who have 

19 experienced or are at risk of experiencing trauma; 

20 and 

21 ‘‘(5) to develop a strategic plan that identi22 fies— 

23 ‘‘(A) barriers to and gaps in the provision 

24 of such services to prevent trauma among, iden25 tify, refer for services, or support (including 


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1 providing treatment for) children and youth, 

2 and their families as appropriate, who have ex3 perienced or are at risk of experiencing trauma; 

4 and 

5 ‘‘(B) policy goals and coordination oppor6 tunities (including coordination in applying for 

7 grants) relating to the provision of such services 

8 to prevent trauma among, identify, refer for 

9 services, and support (including providing treat10 ment for) children and youth, and their families 

11 as appropriate, who have experienced or are at 

12 risk of experiencing trauma. 

13 ‘‘(e) SUPPLEMENT NOT SUPPLANT.—Amounts made 

14 available under this section shall be used to supplement 

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

16 funds and private funds expended to provide trauma-re17 lated coordination activities. 

18 ‘‘(f) EVALUATION.—At the end of the period for 

19 which grants are made under this section, the Secretary 

20 shall conduct an evaluation of the activities carried out 

21 under each grant. In conducting the evaluation, the Sec22 retary shall assess the outcomes of the grant activities car23 ried out by each grant recipient. 

24 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 

25 is authorized to be appropriated to carry out this section 


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1 $40,000,000 for the period of fiscal years 2017 through 

2 2020. 

3 ‘‘(h) DEFINITION.—In this section, the term ‘covered 

4 setting’ has the meaning given the term in section 101(f) 

5 of the Trauma-Informed Care for Children and Families 

6 Act of 2016.’’. 

7 SEC. 406. EXPANSION OF PERFORMANCE PARTNERSHIP 

8 PILOT FOR CHILDREN WHO HAVE EXPERI9 ENCED OR ARE AT RISK OF EXPERIENCING 

10 TRAUMA. 

11 Section 526 of the Departments of Labor, Health and 

12 Human Services, and Education, and Related Agencies 

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

14 amended— 

15 (1) in subsection (a), by striking paragraph (2) 

16 and inserting the following: 

17 ‘‘(2) ‘To improve outcomes for children and 

18 youth, and their families as appropriate, who have 

19 experienced or are at risk of experiencing trauma’ 

20 means to increase the rate at which individuals who 

21 have experienced or are at risk of experiencing trau22 ma, including those who are low-income, homeless, 

23 in foster care, involved in the juvenile justice system, 

24 unemployed, or not enrolled in or at risk of dropping 

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1 munity that has faced acute or long-term exposure 

2 to substantial discrimination, historical oppression, 

3 intergenerational poverty, civil unrest, or a high rate 

4 of violence, achieve success in meeting educational, 

5 employment, health, developmental, community re6 entry, or other key goals.’’; 

7 (2) in subsection (b)— 

8 (A) in the subsection heading, by striking 

9 ‘‘FISCAL YEAR 2014’’ and inserting ‘‘FISCAL

10 YEARS 2014 THROUGH 2017’’; 

11 (B) in the matter preceding paragraph (1), 

12 by inserting ‘‘or any Act appropriating funds 

13 for any of fiscal years 2014 through 2017’’; 

14 (C) in paragraph (1), by striking ‘‘discon15 nected youth’’ and inserting ‘‘children and 

16 youth, and their families as appropriate, who 

17 have experienced or are at risk of experiencing 

18 trauma’’; and 

19 (D) in paragraph (2), by striking ‘‘discon20 nected youth, or designed to prevent youth from 

21 disconnecting from school or work, that provide 

22 education, training, employment, and other re23 lated social services.’’ and inserting ‘‘children 

24 and youth, and their families as appropriate, 


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1 who have experienced or are at risk of experi2 encing trauma.’’; 

3 (3) in subsection (c)(2)(A), by striking ‘‘2018’’ 

4 and inserting ‘‘2022’’; and 

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

6 inserting ‘‘2022’’. 

7 SEC. 407. TRAUMA-INFORMED TEACHING. 

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

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

10 amended— 

11 (1) in subsection (b)(6)— 

12 (A) by redesignating subparagraphs (H) 

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

14 respectively; and 

15 (B) by inserting after subparagraph (G) 

16 the following: 

17 ‘‘(H) how the partnership will prepare gen18 eral education and special education teachers to 

19 work with students who have experienced trau20 ma (including students who are involved in the 

21 foster care or juvenile justice systems or run22 away or homeless youth) and in alternative edu23 cation settings in which high populations of 

24 youth with trauma exposure may learn (includ25 ing settings for correctional education, juvenile 


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1 justice, pregnant and parenting students, or 

2 youth who have re-entered school after a period 

3 of absence due to dropping out);’’; 

4 (2) in subsection (d)(1)(A)(i)— 

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

6 the end; 

7 (B) by redesignating subclause (III) as 

8 subclause (IV); and 

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

10 following: 

11 ‘‘(III) such teachers to adopt evi12 dence-based approaches for improving 

13 behavior (such as positive behavior 

14 interventions and supports and restor15 ative justice), supporting social and 

16 emotional learning, mitigating the ef17 fects of trauma, improving the learn18 ing environment in the school, and for 

19 reducing the need for suspensions, ex20 pulsions, corporal punishment, refer21 rals to law enforcement, and other ac22 tions that remove students from in23 struction; and’’; and 

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

25 following: 


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

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

5 teachers to adopt evidence-based trauma-informed 

6 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 

12 ‘‘(iii) minimize suspension and expul13 sion; and 

14 ‘‘(B) including programs training teachers 

15 to work with students with exposure to trau16 matic events (including students involved in the 

17 foster care or juvenile justice systems) and in 

18 alternative academic settings for youth unable 

19 to participate in a traditional public school pro20 gram in which high-populations of students 

21 with trauma exposure may learn (such as stu22 dents involved in the foster care or juvenile jus23 tice systems, pregnant and parenting students, 

24 runaway and homeless students, and other 


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1 youth who have re-entered school after a period 

2 of absence due to dropping out).’’. 

3 (b) ADMINISTRATIVE PROVISIONS.—Section 

4 203(b)(2) of the Higher Education Act of 1965 (20 

5 U.S.C. 1022b(b)(2)) is amended— 

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

7 the end; 

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

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

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

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

12 high-quality proposal for trauma training pro13 grams for general education and special edu14 cation teachers.’’. 

Æ 


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