services providers in each public elementary 
school and secondary school in the State, in the 
aggregate and disaggregated to include— 
(i) the ratios of students to school 
counselors, school psychologists, and school 
social workers; and 
(ii) as applicable, the ratios of stu-
dents to other school-based mental health 
services providers not described in clause 
(i), in the aggregate and disaggregated by 
type of provider. 
(4) DURATION.—An allotment to a State under 
paragraph (1) shall be for a 5-year period and may 
be renewed for additional 5-year periods upon a 
showing of adequate progress on meeting the goals 
of the program under this title, as determined by the 
Secretary. 
(d) SUBGRANTS
TO LOCAL EDUCATIONAL AGEN-
CIES.— 
(1) IN GENERAL.—A State receiving an allot-
ment under subsection (c) shall use the allotment to 
award subgrants, on a competitive basis, to local 
educational agencies in the State, to enable the local 
educational agencies to—
(A) recruit and retain school-based mental 
health services providers to work at high-need 
schools served by the local educational agency; 
and 
(B) work toward effectively staffing the 
high-need schools of the local educational agen-
cy with school-based mental health services pro-
viders, including by meeting the recommended 
maximum ratios of— 
(i) 250 students per school counselor; 
(ii) 500 students per school psycholo-
gist; and 
(iii) 250 students per school social 
worker. 
(2) PRIORITY.—In awarding subgrants under 
this subsection, the State shall give priority to local 
educational agencies that serve a significant number 
of high-need schools. 
(3) APPLICATION.—A local educational agency 
desiring a subgrant under this subsection shall sub-
mit an application to the State at such time, in such 
manner, and containing such information as the 
State may require, including information on how the 
local educational agency will prioritize assisting 
high-need schools with the largest numbers or per-
centages of students from low-income families (as 
counted under section 1124(c) of the Elementary 
and Secondary Education Act of 1965 (20 U.S.C. 
6333(c))). 
(e) ALLOTMENT AND SUBGRANT REQUIREMENTS.— 
(1) SUPPLEMENT, NOT
SUPPLANT.—Amounts 
received from an allotment under subsection (c) or 
a subgrant under subsection (d) shall supplement, 
and not supplant, any other funds available to a 
State or local educational agency for school-based 
mental health services. 
(2) COMBINING FUNDS ALLOWED.—A local edu-
cational agency receiving a subgrant under sub-
section (d) may combine such subgrant with State or 
local funds to carry out the activities described in 
subsection (d)(1). 
(f) REPORTS.— 
(1) LOCAL EDUCATIONAL AGENCIES.—A local 
educational agency that receives a subgrant under 
subsection (d) shall submit an annual report to the 
State on the activities carried out with the subgrant 
funds. Each such report shall— 
(A) describe the activities carried out using 
subgrant funds;
(B) enumerate the number of school-based 
mental health services providers (in the aggre-
gate and disaggregated by profession) who— 
(i) were employed by or otherwise 
served in high-need public elementary and 
secondary schools under the jurisdiction of 
the local educational agency over the year 
covered by the report; and 
(ii) were supported with funds from 
the subgrant or matching funds during 
such year; and 
(C) include the most recent student to pro-
vider ratios, in the aggregate and disaggregated 
as provided in subsection (c)(3)(D), for high- 
need schools under the jurisdiction of the local 
educational agency that were supported with 
the subgrant or matching funds. 
(2) STATE.—A State receiving an allotment 
under subsection (c) shall annually prepare and sub-
mit a report to the Secretary that— 
(A) evaluates the progress made in achiev-
ing the purposes of the program under this 
title; 
(B) includes the most recent student to 
provider 
ratios, 
in 
the 
aggregate 
and
disaggregated 
as 
provided 
in 
subsection 
(c)(3)(D), for high-need schools in the State 
that were assisted with subgrants under sub-
section (d); and 
(C) describes any other resources needed 
to meet the required recommended maximum 
student to school-based mental health services 
provider ratios. 
(3) 
PUBLIC
AVAILABILITY.—The 
Secretary 
shall make all reports submitted under this sub-
section available to the public, including through the 
website of the Department. 
SEC. 304. AUTHORIZATION OF APPROPRIATIONS. 
There are authorized to be appropriated to carry out 
this title— 
(1) $5,000,000,000 for fiscal year 2023; and 
(2) such sums as may be necessary for each 
succeeding fiscal year. 
TITLE IV—SUPPORTING TRAU-
MA-INFORMED 
EDUCATION 
PRACTICES ACT 
SEC. 401. SHORT TITLE. 
This title may be cited as the ‘‘Supporting Trauma- 
Informed Education Practices Act’’.
SEC. 402. AMENDMENT TO THE SUPPORT FOR PATIENTS 
AND COMMUNITIES ACT. 
Section 7134 of the SUPPORT for Patients and 
Communities Act (42 U.S.C. 280h-7) is amended to read 
as follows: 
‘‘SEC. 7134. GRANTS TO IMPROVE TRAUMA SUPPORT SERV-
ICES AND MENTAL HEALTH CARE FOR CHIL-
DREN AND YOUTH IN EDUCATIONAL SET-
TINGS. 
‘‘(a) AUTHORIZATION OF GRANTS.— 
‘‘(1) GRANTS, CONTRACTS, AND COOPERATIVE 
AGREEMENTS AUTHORIZED.—The Secretary, in co-
ordination with the Secretary of Health and Human 
Services, is authorized to award grants to, or enter 
into contracts or cooperative agreements with, an el-
igible entity for the purpose of increasing student, 
teacher, school leader, and other school personnel ac-
cess to evidence-based trauma support services and 
mental health services by developing innovative ini-
tiatives, activities, or programs to connect schools 
and local educational agencies, or tribal educational 
agencies, as applicable, with community trauma-in-
formed support and mental health systems, includ-
ing such systems under the Indian Health Service.