H. R. 6—161 
(C) the conditions and terms of reimbursement among 
such agencies, authorities, or entities, including procedures 
for dispute resolution. 
(f) EVALUATION.—The Secretary shall reserve not more than 
3 percent of the funds made available under subsection (l) for 
each fiscal year to— 
(1) conduct a rigorous, independent evaluation of the activi-
ties funded under this section; and 
(2) disseminate and promote the utilization of evidence- 
based practices regarding trauma support services and mental 
health care. 
(g) DISTRIBUTION OF AWARDS.—The Secretary shall ensure that 
grants, contracts, and cooperative agreements awarded or entered 
into under this section are equitably distributed among the geo-
graphical regions of the United States and among tribal, urban, 
suburban, and rural populations. 
(h) RULE OF CONSTRUCTION.—Nothing in this section shall be 
construed— 
(1) to prohibit an entity involved with a program carried 
out under this section from reporting a crime that is committed 
by a student to appropriate authorities; or 
(2) to prevent Federal, State, and tribal law enforcement 
and judicial authorities from exercising their responsibilities 
with regard to the application of Federal, tribal, and State 
law to crimes committed by a student. 
(i) SUPPLEMENT, NOT
SUPPLANT.—Any services provided 
through programs carried out under this section shall supplement, 
and not supplant, existing mental health services, including any 
special education and related services provided under the Individ-
uals with Disabilities Education Act (20 U.S.C. 1400 et seq.). 
(j) CONSULTATION WITH INDIAN TRIBES.—In carrying out sub-
section (a), the Secretary shall, in a timely manner, meaningfully 
consult with Indian Tribes and their representatives to ensure 
notice of eligibility. 
(k) DEFINITIONS.—In this section: 
(1) ELEMENTARY SCHOOL.—The term ‘‘elementary school’’ 
has the meaning given such term in section 8101 of the 
Elementary and Secondary Education Act of 1965 (20 U.S.C. 
7801). 
(2) EVIDENCE-BASED.—The term ‘‘evidence-based’’ has the 
meaning given such term in section 8101(21)(A)(i) of the 
Elementary and Secondary Education Act of 1965 (20 U.S.C. 
7801(21)(A)(i)). 
(3) NATIVE
HAWAIIAN
EDUCATIONAL
ORGANIZATION.—The 
term ‘‘Native Hawaiian educational organization’’ has the 
meaning given such term in section 6207 of the Elementary 
and Secondary Education Act of 1965 (20 U.S.C. 7517). 
(4) LOCAL
EDUCATIONAL
AGENCY.—The term ‘‘local edu-
cational agency’’ has the meaning given such term in section 
8101 of the Elementary and Secondary Education Act of 1965 
(20 U.S.C. 7801). 
(5) REGIONAL CORPORATION.—The term ‘‘Regional Corpora-
tion’’ has the meaning given the term in section 3 of the 
Alaska Native Claims Settlement Act (43 U.S.C. 1602)). 
(6) SCHOOL.—The term ‘‘school’’ means a public elementary 
school or public secondary school.
H. R. 6—162 
(7) SCHOOL
LEADER.—The term ‘‘school leader’’ has the 
meaning given such term in section 8101 of the Elementary 
and Secondary Education Act of 1965 (20 U.S.C. 7801). 
(8) SECONDARY SCHOOL.—The term ‘‘secondary school’’ has 
the meaning given such term in section 8101 of the Elementary 
and Secondary Education Act of 1965 (20 U.S.C. 7801). 
(9) SECRETARY.—The term ‘‘Secretary’’ means the Secretary 
of Education. 
(10) SPECIALIZED
INSTRUCTIONAL
SUPPORT
PERSONNEL.— 
The term ‘‘specialized instructional support personnel’’ has the 
meaning given such term in section 8101 of the Elementary 
and Secondary Education Act of 1965 (20 U.S.C. 7801). 
(11) STATE EDUCATIONAL AGENCY.—The term ‘‘State edu-
cational agency’’ has the meaning given such term in section 
8101 of the Elementary and Secondary Education Act of 1965 
(20 U.S.C. 7801). 
(l) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated to carry out this section, $50,000,000 for each 
of fiscal years 2019 through 2023. 
SEC. 7135. RECOGNIZING EARLY CHILDHOOD TRAUMA RELATED TO 
SUBSTANCE ABUSE. 
(a) DISSEMINATION OF INFORMATION.—The Secretary of Health 
and Human Services shall disseminate information, resources, and, 
if requested, technical assistance to early childhood care and edu-
cation providers and professionals working with young children 
on— 
(1) ways to properly recognize children who may be 
impacted by trauma, including trauma related to substance 
use by a family member or other adult; and 
(2) how to respond appropriately in order to provide for 
the safety and well-being of young children and their families. 
(b) GOALS.—The information, resources, and technical assist-
ance provided under subsection (a) shall— 
(1) educate early childhood care and education providers 
and professionals working with young children on under-
standing and identifying the early signs and risk factors of 
children who might be impacted by trauma, including trauma 
due to exposure to substance use; 
(2) suggest age-appropriate communication tools, proce-
dures, and practices for trauma-informed care, including ways 
to prevent or mitigate the effects of trauma; 
(3) provide options for responding to children impacted 
by trauma, including due to exposure to substance use, that 
consider the needs of the child and family, including recom-
mending resources and referrals for evidence-based services 
to support such family; and 
(4) 
promote 
whole-family 
and 
multi-generational 
approaches to keep families safely together when it is in the 
best interest of the child. 
(c) COORDINATION.—The Secretary of Health and Human Serv-
ices shall coordinate with the task force to develop best practices 
for trauma-informed identification, referral, and support authorized 
under section 7132 in disseminating the information, resources, 
and technical assistance described under subsection (b).
H. R. 6—163 
(d) RULE OF CONSTRUCTION.—Such information, resources, and 
if applicable, technical assistance, shall not be construed to amend 
the requirements under— 
(1) the Child Care and Development Block Grant Act of 
1990 (42 U.S.C. 9858 et seq.); 
(2) the Head Start Act (42 U.S.C. 9831 et seq.); or 
(3) the Individuals with Disabilities Education Act (20 
U.S.C. 1400 et seq.). 
Subtitle O—Eliminating Opioid Related 
Infectious Diseases 
SEC. 7141. REAUTHORIZATION AND EXPANSION OF PROGRAM OF 
SURVEILLANCE AND EDUCATION REGARDING INFEC-
TIONS ASSOCIATED WITH ILLICIT DRUG USE AND OTHER 
RISK FACTORS. 
Section 317N of the Public Health Service Act (42 U.S.C. 247b– 
15) is amended to read as follows: 
‘‘SEC. 317N. SURVEILLANCE AND EDUCATION REGARDING INFECTIONS 
ASSOCIATED WITH ILLICIT DRUG USE AND OTHER RISK 
FACTORS. 
‘‘(a) IN GENERAL.—The Secretary, acting through the Director 
of the Centers for Disease Control and Prevention, may (directly 
or through grants to public and nonprofit private entities) provide 
for programs for the following: 
‘‘(1) To cooperate with States and Indian tribes in imple-
menting or maintaining a national system to determine the 
incidence of infections commonly associated with illicit drug 
use, such as viral hepatitis, human immunodeficiency virus, 
and infective endocarditis, and to assist the States in deter-
mining the prevalence of such infections, which may include 
the reporting of cases of such infections. 
‘‘(2) To identify, counsel, and offer testing to individuals 
who are at risk of infections described in paragraph (1) resulting 
from illicit drug use, receiving blood transfusions prior to July 
1992, or other risk factors. 
‘‘(3) To provide appropriate referrals for counseling, testing, 
and medical treatment of individuals identified under para-
graph (2) and to ensure, to the extent practicable, the provision 
of appropriate follow-up services. 
‘‘(4) To develop and disseminate public information and 
education programs for the detection and control of infections 
described in paragraph (1), with priority given to high-risk 
populations as determined by the Secretary. 
‘‘(5) To improve the education, training, and skills of health 
professionals in the detection and control of infections described 
in paragraph (1), including to improve coordination of treatment 
of substance use disorders and infectious diseases, with priority 
given to substance use disorder treatment providers, pediatri-
cians and other primary care providers, obstetrician-gyne-
cologists, and infectious disease clinicians, including HIV clini-
cians. 
‘‘(b) LABORATORY PROCEDURES.—The Secretary may (directly 
or through grants to public and nonprofit private entities) carry 
out programs to provide for improvements in the quality of clinical-
H. R. 6—164 
laboratory procedures regarding infections described in subsection 
(a)(1). 
‘‘(c) DEFINITION.—In this section, the term ‘Indian tribe’ has 
the meaning given that term in section 4 of the Indian Self-Deter-
mination and Education Assistance Act. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of 
carrying out this section, there are authorized to be appropriated 
$40,000,000 for each of the fiscal years 2019 through 2023.’’. 
Subtitle P—Peer Support Communities of 
Recovery 
SEC. 7151. BUILDING COMMUNITIES OF RECOVERY. 
Section 547 of the Public Health Service Act (42 U.S.C. 290ee– 
2) is amended to read as follows: 
‘‘SEC. 547. BUILDING COMMUNITIES OF RECOVERY. 
‘‘(a) DEFINITION.—In this section, the term ‘recovery community 
organization’ means an independent nonprofit organization that— 
‘‘(1) mobilizes resources within and outside of the recovery 
community, which may include through a peer support network, 
to increase the prevalence and quality of long-term recovery 
from substance use disorders; and 
‘‘(2) is wholly or principally governed by people in recovery 
for substance use disorders who reflect the community served. 
‘‘(b) GRANTS AUTHORIZED.—The Secretary shall award grants 
to recovery community organizations to enable such organizations 
to develop, expand, and enhance recovery services. 
‘‘(c) FEDERAL SHARE.—The Federal share of the costs of a pro-
gram funded by a grant under this section may not exceed 85 
percent. 
‘‘(d) USE OF FUNDS.—Grants awarded under subsection (b)— 
‘‘(1) shall be used to develop, expand, and enhance commu-
nity and statewide recovery support services; and 
‘‘(2) may be used to— 
‘‘(A) build connections between recovery networks, 
including between recovery community organizations and 
peer support networks, and with other recovery support 
services, including— 
‘‘(i) behavioral health providers; 
‘‘(ii) primary care providers and physicians; 
‘‘(iii) educational and vocational schools; 
‘‘(iv) employers; 
‘‘(v) housing services; 
‘‘(vi) child welfare agencies; and 
‘‘(vii) other recovery support services that facilitate 
recovery from substance use disorders, including non- 
clinical community services; 
‘‘(B) reduce stigma associated with substance use dis-
orders; and 
‘‘(C) conduct outreach on issues relating to substance 
use disorders and recovery, including— 
‘‘(i) identifying the signs of substance use disorder; 
‘‘(ii) the resources available to individuals with 
substance use disorder and to families of an individual