‘‘(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 Cen-
ters 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 cov-
ered settings and disaggregated by age, race, and 
any other appropriate metrics; and 
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‘‘(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 (in-
cluding through trauma-informed and resilience-fo-
cused 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 popu-
lation, that identifies— 
‘‘(A) policy goals and coordination oppor-
tunities to address community needs and local 
priority issues (including coordination in apply-
ing for or utilizing existing grants, insurance 
coverage, or other government programs), in-
cluding 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 
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exposure to trauma through promotion of resil-
ience 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 ac-
tivities 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-re-
lated coordination activities. 
‘‘(g) EVALUATION.—At the end of the period for 
which grants are awarded under this section, the Sec-
retary 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 wel-
fare, 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 2022 through 2029. 
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‘‘(i) DEFINITIONS.—In this section: 
‘‘(1) COVERED SERVICES.—The term ‘covered 
services’ means culturally responsive services, pro-
grams, models, or interventions that are evidence- 
based, evidence-informed, or promising best prac-
tices 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 Commu-
nities 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 pro-
viders, including primary care and pediatric pro-
viders, 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 treat-
ment facilities, substance use disorder treatment fa-
cilities, faith-based institutions, domestic violence 
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agencies, violence intervention organizations, child 
advocacy centers, homeless services system facilities, 
refugee services system facilities, juvenile justice sys-
tem facilities, law enforcement agency facilities, 
Healthy Marriage Promotion or Responsible Father-
hood 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 EXPERI-
ENCED 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 trau-
ma’ means to increase the rate at which individuals 
who have experienced or are at risk of experiencing 
trauma, including those who are low-income, home-
less, involved with the child welfare system, involved 
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in the juvenile justice system, have been victims of 
violence (including community, family, or sexual vio-
lence), 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 expo-
sure to substantial discrimination, historical oppres-
sion, intergenerational poverty, civil unrest, a high 
rate of violence or drug overdose deaths, achieve suc-
cess in meeting educational, employment, health, de-
velopmental, 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 2022 THROUGH 2026’’; 
(B) by redesignating paragraphs (1) and 
(2) as subparagraphs (A) and (B), respectively, 
and by moving such subparagraphs, as so re-
designated, 2 ems to the right; 
(C) by striking ‘‘Federal agencies’’ and in-
serting the following: 
‘‘(1) DISCONNECTED YOUTH PILOTS.—Federal 
agencies’’; and 
(D) by adding at the end the following: 
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‘‘(2) TRAUMA-INFORMED CARE PILOTS.—Fed-
eral agencies may use Federal discretionary funds 
that are made available in this Act or any appropria-
tions Act, including across different or multiple 
years, for any of fiscal years 2022 through 2026 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 ‘‘2025’’; and 
(B) in subparagraph (F), by inserting be-
fore the semicolon ‘‘, including the age range 
for such population’’; and 
(4) in subsection (e), by striking ‘‘2018’’ and 
inserting ‘‘2025’’. 
(b) REQUIREMENT.—Not later than 9 months after 
the date of enactment of this Act, the Director of the Of-
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fice of Management and Budget, working with the Attor-
ney 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 re-
spect 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, rec-
ommendations for how to sustain projects after 
award periods, and other technical assistance docu-
ments as needed; and 
(3) align application timing periods to provide 
maximum flexibility, which may include the avail-
ability 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 fol-
lowing: 
‘‘(c) HOSPITAL-BASED INTERVENTIONS TO REDUCE 
READMISSIONS.— 
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‘‘(1) GRANTS.—The Secretary shall award 
grants to eligible entities to deliver and evaluate hos-
pital-based interventions to improve outcomes and 
reduce subsequent reinjury or readmissions of pa-
tients that present at a hospital after overdosing, at-
tempting suicide, or suffering violent injury or 
abuse. 
‘‘(2) ELIGIBLE ENTITIES.—To be eligible to re-
ceive a grant under this subsection and entity 
shall— 
‘‘(A) be a hospital or health system (in-
cluding health systems operated by Indian 
tribes or tribal organizations as such terms are 
defined in section 4 of the Indian Self-Deter-
mination Act and Education Assistance Act); 
and 
‘‘(B) submit to the Secretary an applica-
tion at such time, in such manner, and con-
taining such information as the Secretary may 
require, which shall include demonstrated expe-
rience furnishing successful hospital-based trau-
ma interventions to improve outcomes and pre-
vent reinjury or readmission for patients pre-
senting after overdosing, attempting suicide, or 
suffering violent injury or abuse. 
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‘‘(3) USE
OF
FUNDS.—An entity shall use 
amounts received under a grant under this sub-
section to deliver, test, and evaluate hospital-based 
trauma-informed interventions for patients who 
present at hospitals with drug overdoses, suicide at-
tempts, or violent injuries (such as domestic violence 
or intentional penetrating wounds, including gun-
shots and stabbings), or other presenting symptoms 
associated with exposure to trauma, violence, sub-
stance misuse, or suicidal ideation, to provide com-
prehensive education, screening, counseling, dis-
charge 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 devel-
oped under section 7132(d) of the SUPPORT for 
Patients and Communities Act (Public Law 115– 
271). 
‘‘(4) QUALITY MEASURES.—An entity that re-
ceive a grant under this section shall submit to the 
Secretary a report on the data and outcomes devel-
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