families for preventing and mitigating the trau-
matic impact of adverse childhood experiences. 
‘‘(E) A demonstration of the ability of the 
eligible entity to reach the individuals to be 
served, including by partnering with local stake-
holders. 
‘‘(F) An indication of how the personnel 
involved are reflective of the communities to be 
served. 
‘‘(G) A list of stakeholders with whom the 
entity plans to partner or consult. 
‘‘(i) REPORTING BY GRANTEES.—Not later than 4 
years after the date of enactment of this section, an eligi-
ble entity receiving a grant under this section shall submit 
to the Secretary a report on the activities funded through 
the grant. Such report shall include, at a minimum, a de-
scription of— 
‘‘(1) the number of individuals served through 
activities funded through the grant, including demo-
graphics as applicable; 
‘‘(2) the number of referrals made through the 
grant and the rate of such referrals successfully 
linked or closed; 
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‘‘(3) a qualitative analysis or number of collabo-
rative partnerships with other organizations in car-
rying out the activities funded through the grant; 
‘‘(4) the number of services provided to individ-
uals through the grant; 
‘‘(5) aggregated and de-identified outcomes ex-
perienced by individuals served through the grant 
such as— 
‘‘(A) the rate of successful service connec-
tions; 
‘‘(B) any increases in development of pro-
tective factors for children; 
‘‘(C) any increase in development of pro-
tective factors for the caregivers; 
‘‘(D) any mitigation of the negative out-
comes associated with adverse childhood experi-
ences or decreased likelihood of children experi-
encing an adverse childhood experience as evi-
denced by— 
‘‘(i) decreased presence of law en-
forcement or other punitive State surveil-
lance in the community; 
‘‘(ii) a parent completing substance 
use treatment; 
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‘‘(iii) a parent receiving voluntary 
treatment for mental health-related condi-
tions; 
‘‘(iv) a family entering into or main-
taining a stable housing situation; 
‘‘(v) a family achieving or maintaining 
economic security; 
‘‘(vi) a parent achieving or maintain-
ing job stability; or 
‘‘(vii) a child meeting developmental 
markers for school readiness; and 
‘‘(E) reports of satisfaction with the co-
ordination of care by people served; and 
‘‘(6) any other information required by the Sec-
retary. 
‘‘(j) CONVENING PARTICIPANTS FOR SHARING LES-
SONS LEARNED.—After the period of all grants awarded 
under this section has concluded, the Assistant Secretary 
for Planning and Evaluation of the Department of Health 
and Human Services shall provide an in-person or online 
opportunity for persons participating in the programs 
funded through this section to share with each other— 
‘‘(1) lessons learned; 
‘‘(2) challenges experienced; and 
‘‘(3) ideas for next steps and solutions. 
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‘‘(k) COMPILING FINDINGS
AND CONCLUSIONS.— 
After providing the opportunity required by subsection (j), 
the Secretary shall— 
‘‘(1) compile the findings and conclusions of 
grantees under this section on the provision of care 
coordination services described in subsection (a); 
‘‘(2) submit a report on such findings and con-
clusions to the appropriate congressional commit-
tees; and 
‘‘(3) make such report publicly available. 
‘‘(l) DEFINITIONS.—In this section: 
‘‘(1) ADVERSE CHILDHOOD EXPERIENCE.—The 
term ‘adverse childhood experience’ means a poten-
tially traumatic experience that occurs in childhood 
and can have a tremendous impact on the child’s 
lifelong health and opportunity outcomes, such as 
any of the following: 
‘‘(A) Abuse, such as any of the following: 
‘‘(i) 
Emotional 
and 
psychological 
abuse. 
‘‘(ii) Physical abuse. 
‘‘(iii) Sexual abuse. 
‘‘(B) Household challenges such as any of 
the following: 
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‘‘(i) A household member is treated 
violently. 
‘‘(ii) A household member has a sub-
stance use disorder. 
‘‘(iii) A household member has a men-
tal health condition. 
‘‘(iv) Parental separation or divorce. 
‘‘(v) A household member is incarcer-
ated, placed in immigrant detention, or has 
been deported. 
‘‘(vi) A household member has a life- 
threatening illness such as COVID–19. 
‘‘(C) Neglect. 
‘‘(D) Living in— 
‘‘(i) impoverished communities that 
lack access to human services; 
‘‘(ii) areas of high unemployment 
neighborhoods; or 
‘‘(iii) communities experiencing de 
facto segregation. 
‘‘(E) Experiencing food insecurity and 
poor nutrition. 
‘‘(F) Witnessing violence. 
‘‘(G) Involvement with the foster system. 
‘‘(H) Experiencing discrimination. 
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‘‘(I) Dealing with historical and ongoing 
traumas due to systemic and interpersonal rac-
ism. 
‘‘(J) Dealing with historical and ongoing 
traumas regarding systemic and interpersonal 
sexism, homophobia, biphobia, and transphobia. 
‘‘(K) Dealing with the threat of deporta-
tion or detention as a result of immigration sta-
tus. 
‘‘(L) The impacts of multigenerational pov-
erty resulting from limited educational and eco-
nomic opportunities. 
‘‘(M) Living through natural disasters 
such as earthquakes, forest fires, floods, or hur-
ricanes. 
‘‘(2) CARE COORDINATION.—The term ‘care co-
ordination’ means an active, ongoing process that— 
‘‘(A) assists children ages 0 through 5 at 
risk of, or who have experienced, an adverse 
childhood experience, and their caregivers, in-
cluding prenatal people of any age, to identify, 
access, and use community resources and serv-
ices; 
‘‘(B) is client-centered and comprehensive 
of the services a child or caregiver may need; 
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‘‘(C) ensures a closed loop referral by ob-
taining feedback from the families served; and 
‘‘(D) works across systems and services to 
promote collaboration to effectively meet the 
needs of community members. 
‘‘(3) INDIAN TRIBE.—The term ‘Indian Tribe’ 
has the meaning given such term in section 4 of the 
Indian Self-Determination and Education Assistance 
Act. 
‘‘(4) PROTECTIVE FACTORS.—The term ‘protec-
tive factors’ refers to any supportive element in a 
child or caretaker’s life that helps the child or care-
taker to withstand trauma such as a stable school 
environment or supportive peer relationships. 
‘‘(m) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—To carry out this section, 
there is authorized to be appropriated $15,000,000 
for each of the 5 fiscal years following the fiscal year 
in which this section is enacted. 
‘‘(2) GRANTS
TO
INDIAN
TRIBES.—Of the 
amount made available to carry out this section for 
a fiscal year, the Secretary shall use not less than 
10 percent of such amount for grants to eligible en-
tities that are Indian tribes. 
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‘‘(3) 
ADMINISTRATIVE
EXPENSES.—Of 
the 
amount made available to carry out this section for 
a fiscal year, the Secretary may use not more than 
15 percent of such amount for administrative ex-
penses, including the expenses of the Assistant Sec-
retary for Planning and Evaluation of the Depart-
ment of Health and Human Services for compiling 
and reporting information. 
‘‘(4) TECHNICAL ASSISTANCE.—Of the amount 
made available to carry out this section for a fiscal 
year, the Secretary may reserve up to 5 percent of 
such amount to provide technical assistance to eligi-
ble entities in preparing and submitting applications 
under this section.’’. 
Æ 
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