RISE from Trauma Act

Subjects: Health


<html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 1426 Introduced in Senate (IS)]

&lt;DOC&gt;






118th CONGRESS
  1st Session
                                S. 1426

To improve the identification and support of children and families who 
                           experience trauma.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 3, 2023

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.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Resilience Investment, Support, and 
Expansion from Trauma Act'' or the ``RISE from Trauma Act''.

                     TITLE I--COMMUNITY PROGRAMMING

SEC. 101. TRAUMA AND RESILIENCE-RELATED COORDINATING BODIES.

    Title V of the Public Health Service Act is amended by inserting 
after section 520C (42 U.S.C. 290bb-34) the following:

``SEC. 520D. LOCAL COORDINATING BODIES TO ADDRESS COMMUNITY TRAUMA, 
              PREVENTION, AND RESILIENCE.

    ``(a) Grants.--
            ``(1) In general.--The Secretary, in coordination with the 
        Director of the Centers for Disease Control and Prevention and 
        the Assistant Secretary, shall award grants to State, county, 
        local, or Indian tribe or tribal organizations (as such terms 
        are defined in section 4 of the Indian Self-Determination Act 
        and Education Assistance Act) or nonprofit private entities for 
        demonstration projects to enable such entities to act as 
        coordinating bodies to prevent or mitigate the impact of trauma 
        and toxic stress in a community, or promote resilience by 
        fostering protective factors.
            ``(2) Amount.--The Secretary shall award such grants in 
        amounts of not more than $6,000,000.
            ``(3) Duration.--The Secretary shall award such grants for 
        periods of 4 years.
    ``(b) Eligible Entities.--
            ``(1) In general.--To be eligible to receive a grant under 
        this section, an entity shall include 1 or more representatives 
        from at least 5 of the categories described in paragraph (2).
            ``(2) Composition.--The categories referred to in paragraph 
        (1) are--
                    ``(A) governmental agencies, such as public health, 
                mental health, human services, or child welfare 
                agencies, that provide training related to covered 
                services or conduct activities to screen, assess, 
                provide services or referrals, prevent, or provide 
                treatment to support infants, children, youth, and 
                their families as appropriate, that have experienced or 
                are at risk of experiencing trauma;
                    ``(B) faculty or qualified staff at an institution 
                of higher education (as defined in section 101(a) of 
                the Higher Education Act of 1965) or representatives of 
                a local member of the National Child Traumatic Stress 
                Network, in an area related to screening, assessment, 
                service provision or referral, prevention, or treatment 
                to support infants, children, youth, and their 
                families, as appropriate, that have experienced or are 
                at risk of experiencing trauma;
                    ``(C) hospitals, health care clinics, or other 
                health care institutions, such as mental health and 
                substance use disorder treatment facilities;
                    ``(D) criminal justice representatives related to 
                adults and juveniles, which may include law enforcement 
                or judicial or court employees;
                    ``(E) local educational agencies (as defined in 
                section 8101 of the Elementary and Secondary Education 
                Act of 1965 (20 U.S.C. 7801)) or agencies responsible 
                for early childhood education programs, which may 
                include Head Start and Early Head Start agencies;
                    ``(F) workforce development, job training, or 
                business associations;
                    ``(G) nonprofit, community-based faith, human 
                services, civic, or social services organizations, 
                including participants in a national or community 
                service program (as described in section 122 of the 
                National and Community Service Act of 1990 (42 U.S.C. 
                12572)), providers of after-school programs, home 
                visiting programs, family resource centers, agencies 
                that serve victims of domestic and family violence or 
                child abuse, or programs to prevent or address the 
                impact of violence and addiction; and
                    ``(H) the general public, including individuals who 
                have experienced trauma who can appropriately represent 
                populations and activities relevant to the community 
                that will be served by the entity.
            ``(3) Qualifications.--In order for an entity to be 
        eligible to receive the grant under this section, the 
        representatives included in the entity shall, collectively, 
        have training and expertise concerning childhood trauma, 
        resilience, and covered services.
    ``(c) Application.--To be eligible to receive a grant under this 
section, an entity shall submit an application to the Secretary at such 
time, in such manner, and containing such information as the Secretary 
may require.
    ``(d) Priority.--In awarding grants under this section, the 
Secretary shall give priority to entities proposing to serve 
communities or populations that have faced or currently face high rates 
of community trauma, including from intergenerational poverty, civil 
unrest, discrimination, or oppression, which may include an evaluation 
of--
            ``(1) an age-adjusted rate of drug overdose deaths that is 
        above the national overdose mortality rate, as determined by 
        the Director of the Centers for Disease Control and Prevention;
            ``(2) an age-adjusted rate of violence-related (or 
        intentional) injury deaths that is above the national average, 
        as determined by the Director of the Centers for Disease 
        Control and Prevention; and
            ``(3) a rate of involvement in the child welfare or 
        juvenile justice systems that is above the national average, as 
        determined by the Secretary.
    ``(e) Use of Funds.--An entity that receives a grant under this 
section to act as a coordinating body may use the grant funds to--
            ``(1) bring together stakeholders who provide or use 
        services in, or have expertise concerning, covered settings to 
        identify community needs and resources related to covered 
        services, and to build on any needs assessments conducted by 
        organizations or groups represented on the coordinating body;
            ``(2)(A) collect data, on indicators to reflect local 
        priority issues, including across multiple covered settings and 
        disaggregated by age, race, and any other appropriate metrics; 
        and
            ``(B) use the data to identify unique community challenges 
        and barriers, community strengths and assets, gaps in services, 
        and high-need areas, related to covered services;
            ``(3) build awareness, skills, and leadership (including 
        through trauma-informed and resilience-focused training and 
        public outreach campaigns) on covered services in covered 
        settings;
            ``(4) develop a strategic plan, in partnership with members 
        of the served community or population, that identifies--
                    ``(A) policy goals and coordination opportunities 
                to address community needs and local priority issues 
                (including coordination in applying for or utilizing 
                existing grants, insurance coverage, or other 
                government programs), including for communities of 
                color and relating to delivering and implementing 
                covered services; and
                    ``(B) a comprehensive, integrated approach for the 
                entity and its members to prevent and mitigate the 
                impact of exposure to trauma or toxic stress in the 
                community, and to assist the community in healing from 
                existing and prior exposure to trauma through promotion 
                of resilience and fostering protective factors;
            ``(5) implement such strategic plans in the local 
        community, including through the delivery of covered services 
        in covered settings; and
            ``(6) identify funding sources and partner with community 
        stakeholders to sustainably continue activities after the end 
        of the grant period.
    ``(f) Supplement Not Supplant.--Amounts made available under this 
section shall be used to supplement and not supplant other Federal, 
State, and local public funds and private funds expended to provide 
trauma-related coordination activities.
    ``(g) Evaluation.--At the end of the period for which grants are 
awarded under this section, the Secretary shall conduct an evaluation 
of the activities carried out under each grant under this section. In 
conducting the evaluation, the Secretary shall assess the outcomes of 
the grant activities carried out by each grant recipient, including 
outcomes related to health, education, child welfare, criminal justice 
involvement, or other measurable outcomes pertaining to wellbeing and 
societal impact.
    ``(h) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $600,000,000 for each of fiscal 
years 2024 through 2031.
    ``(i) Definitions.--In this section:
            ``(1) Covered services.--The term `covered services' means 
        culturally responsive services, programs, models, or 
        interventions that are evidence-based, evidence-informed, or 
        promising best practices to support infants, children, youth, 
        and their families as appropriate by preventing or mitigating 
        the impact of trauma and toxic stress or promoting resilience 
        by fostering protective factors, which may include the best 
        practices developed under section 7132(d) of the SUPPORT for 
        Patients and Communities Act (Public Law 115-271).
            ``(2) Covered setting.--The term `covered setting' means 
        the settings in which individuals may come into contact with 
        infants, children, youth, and their families, as appropriate, 
        who have experienced or are at risk of experiencing trauma, 
        including schools, hospitals, settings where health care 
        providers, including primary care and pediatric providers, 
        provide services, early childhood education and care settings, 
        home visiting settings, after-school program facilities, child 
        welfare agency facilities, public health agency facilities, 
        mental health treatment facilities, substance use disorder 
        treatment facilities, faith-based institutions, domestic 
        violence agencies, violence intervention organizations, child 
        advocacy centers, homeless services system facilities, refugee 
        services system facilities, juvenile justice system facilities, 
        law enforcement agency facilities, Healthy Marriage Promotion 
        or Responsible Fatherhood service settings, child support 
        service settings, and service settings focused on individuals 
        eligible for Temporary Assistance for Needy Families; and''.

SEC. 102. EXPANSION OF PERFORMANCE PARTNERSHIP PILOT FOR CHILDREN WHO 
              HAVE EXPERIENCED OR ARE AT RISK OF EXPERIENCING TRAUMA.

    (a) In General.--Section 526 of the Departments of Labor, Health 
and Human Services, and Education, and Related Agencies Appropriations 
Act, 2014 (42 U.S.C. 12301 note) is amended--
            (1) in subsection (a), by adding at the end the following:
            ``(4) `To improve outcomes for infants, children, and 
        youth, and their families as appropriate, who have experienced 
        or are at risk of experiencing trauma' means to increase the 
        rate at which individuals who have experienced or are at risk 
        of experiencing trauma, including those who are low-income, 
        homeless, involved with the child welfare system, involved in 
        the juvenile justice system, have been victims of violence 
        (including community, family, or sexual violence), unemployed, 
        or not enrolled in or at risk of dropping out of an educational 
        institution and live in a community that has faced acute or 
        long-term exposure to substantial discrimination, historical 
        oppression, intergenerational poverty, civil unrest, a high 
        rate of violence or drug overdose deaths, achieve success in 
        meeting educational, employment, health, developmental, 
        community reentry, permanency from foster care, or other key 
        goals.'';
            (2) in subsection (b)--
                    (A) in the subsection heading, by striking ``Fiscal 
                Year 2014'' and inserting ``Fiscal Years 2024 Through 
                2028'';
                    (B) by redesignating paragraphs (1) and (2) as 
                subparagraphs (A) and (B), respectively, and by moving 
                such subparagraphs, as so redesignated, 2 ems to the 
                right;
                    (C) by striking ``Federal agencies'' and inserting 
                the following:
            ``(1) Disconnected youth pilots.--Federal agencies''; and
                    (D) by adding at the end the following:
            ``(2) Trauma-informed care pilots.--Federal agencies may 
        use Federal discretionary funds that are made available in this 
        Act or any appropriations Act, including across different or 
        multiple years, for any of fiscal years 2024 through 2028 to 
        carry out up to 10 Performance Partnership Pilots. Such Pilots 
        shall--
                    ``(A) be designed to improve outcomes for infants, 
                children, and youth, and their families as appropriate, 
                who have experienced or are at risk of experiencing 
                trauma; and
                    ``(B) involve Federal programs targeted on infants, 
                children, and youth, and their families as appropriate, 
                who have experienced or are at risk of experiencing 
                trauma.'';
            (3) in subsection (c)(2)--
                    (A) in subparagraph (A), by striking ``2018'' and 
                inserting ``2027''; and
                    (B) in subparagraph (F), by inserting before the 
                semicolon ``, including the age range for such 
                population''; and
            (4) in subsection (e), by striking ``2018'' and inserting 
        ``2027''.
    (b) Requirement.--Not later than 9 months after the date of 
enactment of this Act, the Director of the Office of Management and 
Budget, working with the Attorney General and the Secretary of Labor, 
Secretary of Health and Human Services, Secretary of Education, and 
Secretary of Housing and Urban Development, and any other appropriate 
agency representative, shall, with respect to carrying out this 
section--
            (1) explore authorities to enable the issuance of 
        appropriate start-up funding;
            (2) issue guidance documents, template waivers and 
        performance measurements, best practices and lessons learned 
        from prior pilot programs, recommendations for how to sustain 
        projects after award periods, and other technical assistance 
        documents as needed; and
            (3) align application timing periods to provide maximum 
        flexibility, which may include the availability of initial 
        planning periods for awardees.

SEC. 103. HOSPITAL-BASED INTERVENTIONS TO REDUCE READMISSIONS.

    Section 393 of the Public Health Service Act (42 U.S.C. 280b-1a) is 
amended by adding at the end the following:
    ``(c) Hospital-Based Interventions To Reduce Readmissions.--
            ``(1) Grants.--The Secretary shall award grants to eligible 
        entities to deliver and evaluate hospital-based interventions 
        to improve outcomes and reduce subsequent reinjury or 
        readmissions of patients that present at a hospital after 
        overdosing, attempting suicide, or suffering violent injury or 
        abuse.
            ``(2) Eligible entities.--To be eligible to receive a grant 
        under this subsection and entity shall--
                    ``(A) be a hospital or health system (including 
                health systems operated by Indian tribes or tribal 
                organizations as such terms are defined in section 4 of 
                the Indian Self-Determination Act and Education 
                Assistance Act); and
                    ``(B) submit to the Secretary an application at 
                such time, in such manner, and containing such 
                information as the Secretary may require, which shall 
                include demonstrated experience furnishing successful 
                hospital-based trauma interventions to improve outcomes 
                and prevent reinjury or readmission for patients 
                presenting after overdosing, attempting suicide, or 
                suffering violent injury or abuse.
            ``(3) Use of funds.--An entity shall use amounts received 
        under a grant under this subsection to deliver, test, and 
        evaluate hospital-based trauma-informed interventions for 
        patients who present at hospitals with drug overdoses, suicide 
        attempts, or violent injuries (such as domestic violence or 
        intentional penetrating wounds, including gunshots and 
        stabbings), or other presenting symptoms associated with 
        exposure to trauma, violence, substance misuse, or suicidal 
        ideation, to provide comprehensive education, screening, 
        counseling, discharge planning, skills building, and long-term 
        case management services to such individuals, and their 
        guardians or caregivers as appropriate, to prevent hospital 
        readmission, injury, and improve health, wellness, and safety 
        outcomes. Such interventions may be furnished in coordination 
        or partnership with qualified community-based organizations and 
        may include or incorporate the best practices developed under 
        section 7132(d) of the SUPPORT for Patients and Communities Act 
        (Public Law 115-271).
            ``(4) Quality measures.--An entity that receive a grant 
        under this section shall submit to the Secretary a report on 
        the data and outcomes developed under the grant, including any 
        quality measures developed, evaluated, and validated to prevent 
        hospital readmissions for the patients served under the program 
        involved.
            ``(5) Sustainable coverage.--The Secretary, acting through 
        the Administrator of the Centers for Medicare & Medicaid 
        Services, shall evaluate existing authorities, flexibilities, 
        and policies and disseminate appropriate and relevant 
        information to eligible entities on the opportunities for 
        health insurance coverage and reimbursement for the activities 
        described in paragraph (3).''.

SEC. 104. REAUTHORIZING THE NATIONAL CHILD TRAUMATIC STRESS NETWORK.

    Section 582 of the Public Health Service Act (42 U.S.C. 290hh-1) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (1), by striking ``and'' at the 
                end;
                    (B) in paragraph (2), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
            ``(3) collaboration among all NCTSI grantees for purposes 
        of developing evidence-based resources, training, 
        interventions, practices, and other information, as an integral 
        part of required grant activities.'';
            (2) in subsection (d), by adding at the end the following: 
        ``In carrying out this subsection, the Secretary shall permit 
        all grantees to deliver both training and services, as 
        appropriate.''; and
            (3) in subsection (j), by striking ``$63,887,000 for each 
        of fiscal years 2019 through 2023'' and inserting ``$93,887,000 
        for each of fiscal years 2024 through 2028''.

SEC. 105. REAUTHORIZING THE TRAUMA SUPPORT SERVICES IN SCHOOLS GRANT 
              PROGRAM.

    Section 7134(l) of the SUPPORT for Patients and Communities Act 
(Public Law 115-271) is amended by striking ``fiscal years 2019 through 
2023'' and inserting ``fiscal years 2024 through 2028''.

SEC. 106. REAUTHORIZING CDC SURVEILLANCE AND DATA COLLECTION 
              ACTIVITIES.

    Section 7131(e) of the SUPPORT for Patients and Communities Act 
(Public Law 115-271) is amended by striking ``$2,000,000 for each of 
fiscal years 2019 through 2023'' and inserting ``$9,000,000 for each of 
fiscal years 2024 through 2028''.

                    TITLE II--WORKFORCE DEVELOPMENT

SEC. 201. REAUTHORIZING THE INTERAGENCY TASK FORCE ON TRAUMA-INFORMED 
              CARE.

    Section 7132(i) of the SUPPORT for Patients and Communities Act 
(Public Law 115-271) is amended by striking ``2023'' and inserting 
``2028''.

SEC. 202. TRAINING AND RECRUITMENT OF INDIVIDUALS FROM COMMUNITIES THAT 
              HAVE EXPERIENCED HIGH LEVELS OF TRAUMA, VIOLENCE, OR 
              ADDICTION.

    Part B of title VII of the Public Health Service Act (42 U.S.C. 293 
et seq.) is amended by adding at the end the following:

``SEC. 742. INDIVIDUALS FROM COMMUNITIES THAT HAVE EXPERIENCED HIGH 
              LEVELS OF TRAUMA, VIOLENCE, OR ADDICTION.

    ``In carrying out activities under this part, the Secretary shall 
ensure that emphasis is provided on the recruitment of individuals from 
communities that have experienced high levels of trauma, violence, or 
addiction and that appropriate activities under this part are carried 
out in partnership with community-based organizations that have 
expertise in addressing such challenges to enhance service delivery.''.

SEC. 203. FUNDING FOR THE NATIONAL HEALTH SERVICE CORPS.

    Section 10503(b)(2) of the Patient Protection and Affordable Care 
Act (42 U.S.C. 254b-2(b)(2)) is amended--
            (1) in subparagraph (G), by striking ``and'' at the end;
            (2) in subparagraph (H), by striking the period and 
        inserting ``; and''; and
            (3) by adding at the end the following:
                    ``(I) in addition to the amounts provided for under 
                subparagraph (H) for fiscal year 2023, $50,000,000 for 
                each of fiscal years 2024 through 2028, to be allocated 
                in each such fiscal year for awards to eligible 
                individuals whose obligated service locations are in 
                schools or community-based settings as described in 
                section 338N of the Public Health Service Act.''.

SEC. 204. INFANT AND EARLY CHILDHOOD CLINICAL WORKFORCE.

    Part P of title III of the Public Health Service Act (42 U.S.C. 
280g) is amended by adding at the end the following:

``SEC. 399V-8. INFANT AND EARLY CHILDHOOD CLINICAL WORKFORCE.

    ``(a) In General.--The Secretary, acting through the Associate 
Administrator of the Maternal and Child Health Bureau, shall establish 
an Infant and Early Childhood Mental Health Clinical Leadership Program 
to award grants to eligible entities to establish a national network of 
training institutes for infant and early childhood clinical mental 
health.
    ``(b) Eligible Entities.--To be eligible to receive a grant under 
this section, an entity shall--
            ``(1) be--
                    ``(A) an institution of higher education as defined 
                in section 101(a) of the Higher Education Act of 1965, 
                including historically Black colleges and universities 
                (as defined for purposes of section 322 of the Higher 
                Education Act of 1965 (20 U.S.C. 1061)), and Tribal 
                colleges (as defined for purposes of section 316(b) of 
                the Higher Education Act of 1965 (20 U.S.C. 1059c)); or
                    ``(B) be a hospital with affiliation with such an 
                institution of higher education, or a State 
                professional medical society or association of infant 
                mental health demonstrating an affiliation or 
                partnership with such an institution of higher 
                education; and
            ``(2) submit to the Secretary an application at such time, 
        in such manner, and containing such information as the 
        Secretary may require.
    ``(c) Use of Grant.--An entity shall use amounts received under a 
grant under this section to establish training institutes to--
            ``(1) equip aspiring and current mental health 
        professionals, including clinical social workers, professional 
        counselors, marriage and family therapists, clinical 
        psychologists, child psychiatrists, school psychologists, 
        school counselors, school social workers, nurses, home 
        visitors, community health workers, and developmental and 
        behavioral pediatricians with specialization in infant and 
        early childhood clinical mental health, and those pursuing 
        certification or licensure in such professions; and
            ``(2) emphasize equipping trainees with culturally 
        responsive skills in prevention, mental health consultation, 
        screening, assessment, diagnosis, and treatment for infants and 
        children, and their parents as appropriate, who have 
        experienced or are at risk of experiencing trauma, including 
        from intergenerational poverty, civil unrest, discrimination, 
        or oppression, exposure to violence or overdose, as well as 
        prevention of secondary trauma, through--
                    ``(A) the provision of community-based training and 
                supervision in evidence-based assessment, diagnosis, 
                and treatment, which may be conducted through 
                partnership with qualified community-based 
                organizations;
                    ``(B) the development of graduate education 
                training tracks;
                    ``(C) the provision of scholarships, stipends, and 
                trainee supports, including to enhance recruitment, 
                retention, and career placement of students from 
                populations under-represented populations in the mental 
                health workforce; and
                    ``(D) the provision of mid-career training to 
                develop the capacity of existing health practitioners.
    ``(d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $25,000,000 for each of fiscal 
years 2024 through 2028.''.

SEC. 205. TRAUMA-INFORMED TEACHING AND SCHOOL LEADERSHIP.

    (a) Partnership Grants.--Section 202 of the Higher Education Act of 
1965 (20 U.S.C. 1022a) is amended--
            (1) in subsection (b)(6)--
                    (A) by redesignating subparagraphs (H) through (K) 
                as subparagraphs (I) through (L), respectively; and
                    (B) by inserting after subparagraph (G) the 
                following:
                    ``(H) how the partnership will prepare general 
                education and special education teachers and, as 
                applicable, early childhood educators, to support 
                positive learning outcomes and social and emotional 
                development for students--
                            ``(i) who have experienced trauma 
                        (including students who are involved in the 
                        foster care or juvenile justice system or 
                        runaway or homeless youth); and
                            ``(ii) in alternative education settings in 
                        which high populations of youth with trauma 
                        exposure may learn (including settings for 
                        correctional education, juvenile justice, 
                        pregnant, expecting, and parenting students, or 
                        youth who have re-entered school after a period 
                        of absence due to dropping out);'';
            (2) in subsection (d)(1)(A)(i)--
                    (A) in subclause (II), by striking ``and'' after 
                the semicolon;
                    (B) by redesignating subclause (III) as subclause 
                (IV); and
                    (C) by inserting after subclause (II) the 
                following:
                                    ``(III) such teachers and, as 
                                applicable, early childhood educators, 
                                to adopt evidence-based approaches 
                                for--
                                            ``(aa) improving behavior 
                                        (such as positive behavior 
                                        interventions and supports and 
                                        restorative justice practices);
                                            ``(bb) supporting social 
                                        and emotional learning;
                                            ``(cc) mitigating the 
                                        effects of trauma;
                                            ``(dd) improving the 
                                        learning environment in the 
                                        school;
                                            ``(ee) preventing secondary 
                                        trauma, compassion fatigue, and 
                                        burnout; and
                                            ``(ff) alternatives to 
                                        punitive discipline practices, 
                                        including suspensions, 
                                        expulsions, corporal 
                                        punishment, referrals to law 
                                        enforcement, and other actions 
                                        that remove students from the 
                                        learning environment; and''; 
                                        and
            (3) in subsection (d), by adding at the end the following:
            ``(7) Trauma-informed and resilience-focused practice and 
        work in alternative education settings.--Developing the 
        teaching skills of prospective and, as applicable, new, early 
        childhood educators and elementary school and secondary school 
        teachers to adopt evidence-based trauma-informed and 
        resilience-focused teaching strategies--
                    ``(A) to--
                            ``(i) recognize the signs of trauma and its 
                        impact on learning;
                            ``(ii) maximize student engagement and 
                        promote the social and emotional development of 
                        students;
                            ``(iii) implement alternative practices to 
                        suspension and expulsion that do not remove 
                        students from the learning environment; and
                            ``(iv) engage with other school personnel, 
                        including administrators and nonteaching staff, 
                        to foster a shared understanding of the items 
                        described in clauses (i), (ii), and (iii); and
                    ``(B) including programs training teachers and, as 
                applicable, early childhood educators to work with 
                students--
                            ``(i) with exposure to traumatic events 
                        (including students involved in the foster care 
                        or juvenile justice system or runaway and 
                        homeless youth); and
                            ``(ii) in alternative academic settings for 
                        youth unable to participate in a traditional 
                        public school program in which high populations 
                        of students with trauma exposure may learn 
                        (such as students involved in the foster care 
                        or juvenile justice system, pregnant, 
                        expecting, and parenting students, runaway and 
                        homeless students, students exposed to family 
                        violence or trafficking, and other youth who 
                        have re-entered school after a period of 
                        absence due to dropping out).''.
    (b) Administrative Provisions.--Section 203(b)(2) of the Higher 
Education Act of 1965 (20 U.S.C. 1022b(b)(2)) is amended--
            (1) in subparagraph (A), by striking ``and'' after the 
        semicolon;
            (2) in subparagraph (B)(ii), by striking the period at the 
        end and inserting ``; and''; and
            (3) by adding at the end the following:
                    ``(C) to eligible partnerships that have a high-
                quality proposal for trauma-informed and resilience-
                focused training programs for general education and 
                special education teachers and, as applicable, early 
                childhood educators.''.
    (c) Grants for the Development of Leadership Programs.--Section 
202(f)(1)(B) of the Higher Education Act of 1965 (20 U.S.C. 
1022a(f)(1)(B)) is amended--
            (1) in clause (v), by striking ``and'' after the semicolon;
            (2) in clause (vi), by striking the period at the end and 
        inserting ``; and''; and
            (3) by adding at the end the following:
                            ``(vii) identify students who have 
                        experienced trauma and connect those students 
                        with appropriate school-based or community-
                        based interventions and services.''.

SEC. 206. TOOLS FOR FRONT-LINE PROVIDERS.

    Not later than 18 months after the date of enactment of this Act, 
the Secretary of Health and Human Services, in coordination with 
appropriate stakeholders with subject matter expertise which may 
include the National Child Traumatic Stress Network or other resource 
centers funded by the Department of Health and Human Services, shall 
carry out activities to develop accessible and easily understandable 
toolkits for use by front-line service providers (including teachers, 
early childhood educators, school and out-of-school program leaders, 
paraeducators and school support staff, home visitors, mentors, social 
workers, counselors, health care providers, child welfare agency staff, 
individuals in juvenile justice settings, faith leaders, first 
responders, kinship caregivers, domestic violence agencies, child 
advocacy centers, homeless services personnel, and youth development 
and community-based organization personnel) for appropriately 
identifying, responding to, and supporting infants, children, and 
youth, and their families, as appropriate, who have experienced or are 
at risk of experiencing trauma or toxic stress. Such toolkits shall 
incorporate best practices developed under section 7132(d) of the 
SUPPORT for Patients and Communities Act (Public Law 115-271), and 
include actions to build a safe, stable, and nurturing environment for 
the infants, children, and youth served in those settings, capacity 
building, and strategies for addressing the impact of secondary trauma, 
compassion fatigue, and burnout among such front-line service providers 
and other caregivers.

SEC. 207. CHILDREN EXPOSED TO VIOLENCE INITIATIVE.

    Title I of the Omnibus Crime Control and Safe Streets Act of 1968 
(34 U.S.C. 10101) is amended by adding at the end the following:

    ``PART PP--CHILDREN EXPOSED TO VIOLENCE AND ADDICTION INITIATIVE

``SEC. 3061. GRANTS TO SUPPORT CHILDREN EXPOSED TO VIOLENCE AND 
              SUBSTANCE USE.

    ``(a) In General.--The Attorney General may make grants to States, 
units of local government, Indian tribes and tribal organizations (as 
such terms are defined in section 4 of the Indian Self-Determination 
Act and Education Assistance Act), and nonprofit organizations to 
reduce violence and substance use by preventing children's trauma from 
exposure to violence or substance use and supporting infants, children, 
and youth, and their families, who have been harmed by violence, 
trauma, or substance use to heal.
    ``(b) Use of Funds.--
            ``(1) In general.--A grant under subsection (a) may be used 
        to implement trauma-informed policies and practices that 
        support infants, children, youth, and their families, as 
        appropriate, by--
                    ``(A) building public awareness and education about 
                the importance of addressing childhood trauma as a 
                means to reduce violence and substance use and improve 
                educational, economic, developmental, and societal 
                outcomes for infants, children, and youth;
                    ``(B) providing training, tools, and resources to 
                develop the skills and capacity of parents (including 
                foster parents), adult guardians, and professionals who 
                interact directly with infants, children, and youth, in 
                an organized or professional setting, to reduce the 
                impact of trauma, grief, and exposure to violence on 
                children, including through the best practices 
                developed under section 7132(d) of the SUPPORT for 
                Patients and Communities Act (Public Law 115-271); and
                    ``(C) supporting community collaborations and 
                providing technical assistance to communities, 
                organizations, and public agencies on how they can 
                coordinate to prevent and mitigate the impact of trauma 
                from exposure to violence and substance use on children 
                in their homes, schools, and communities.
            ``(2) Priority.--Priority in awarding grants under this 
        section shall be given to communities that seek to address 
        multiple types of violence and serve children who have 
        experienced poly-victimization.
    ``(c) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section $11,000,000 for each of fiscal 
years 2024 through 2028.''.

SEC. 208. ESTABLISHMENT OF LAW ENFORCEMENT CHILD AND YOUTH TRAUMA 
              COORDINATING CENTER.

    (a) Establishment of Center.--
            (1) In general.--The Attorney General, in coordination with 
        the Civil Rights Division, shall establish a National Law 
        Enforcement Child and Youth Trauma Coordinating Center 
        (referred to in this section as the ``Center'') to provide 
        assistance to adult- and juvenile-serving State, local, and 
        tribal law enforcement agencies (including those operated by 
        Indian tribes and tribal organizations as such terms are 
        defined in section 4 of the Indian Self-Determination Act and 
        Education Assistance Act) in interacting with infants, 
        children, and youth who have been exposed to violence or other 
        trauma, and their families as appropriate.
            (2) Age range.--The Center shall determine the age range of 
        infants, children, and youth to be covered by the activities of 
        the Center.
    (b) Duties.--The Center shall provide assistance to adult- and 
juvenile-serving State, local, and tribal law enforcement agencies by--
            (1) disseminating information on the best practices for law 
        enforcement officers, which may include best practices based on 
        evidence-based and evidence-informed models from programs of 
        the Department of Justice and the Office of Justice Services of 
        the Bureau of Indian Affairs or the best practices developed 
        under section 7132(d) of the SUPPORT for Patients and 
        Communities Act (Public Law 115-271), such as--
                    (A) models developed in partnership with national 
                law enforcement organizations, Indian tribes, or 
                clinical researchers; and
                    (B) models that include--
                            (i) trauma-informed approaches to conflict 
                        resolution, information gathering, forensic 
                        interviewing, de-escalation, and crisis 
                        intervention training;
                            (ii) early interventions that link child 
                        and youth witnesses and victims, and their 
                        families as appropriate, to age-appropriate 
                        trauma-informed services; and
                            (iii) preventing and supporting officers 
                        who experience secondary trauma;
            (2) providing professional training and technical 
        assistance; and
            (3) awarding grants under subsection (c).
    (c) Grant Program.--
            (1) In general.--The Attorney General, acting through the 
        Center, may award grants to State, local, and tribal law 
        enforcement agencies or to multi-disciplinary consortia to--
                    (A) enhance the awareness of best practices for 
                trauma-informed responses to infants, children, and 
                youth who have been exposed to violence or other 
                trauma, and their families as appropriate; and
                    (B) provide professional training and technical 
                assistance in implementing the best practices described 
                in subparagraph (A).
            (2) Application.--Any State, local, or tribal law 
        enforcement agency seeking a grant under this subsection shall 
        submit an application to the Attorney General at such time, in 
        such manner, and containing such information as the Attorney 
        General may require.
            (3) Use of funds.--A grant awarded under this subsection 
        may be used to--
                    (A) provide training to law enforcement officers on 
                best practices, including how to identify and 
                appropriately respond to early signs of trauma and 
                violence exposure when interacting with infants, 
                children, and youth, and their families, as 
                appropriate; and
                    (B) establish, operate, and evaluate a referral and 
                partnership program with trauma-informed clinical 
                mental health, substance use, health care, or social 
                service professionals in the community in which the law 
                enforcement agency serves.
    (d) Authorization of Appropriations.--There are authorized to be 
appropriated to the Attorney General--
            (1) $6,000,000 for each of fiscal years 2024 through 2028 
        to award grants under subsection (c); and
            (2) $2,000,000 for each of fiscal years 2024 through 2028 
        for other activities of the Center.
                                 &lt;all&gt;
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