1115 
‘‘(A) improving connections through care 
coordination; 
‘‘(B) aligning community initiatives in tar-
geted areas of need; and 
‘‘(C) 
expanding 
community 
capacity 
through cross-sector collaboration; and 
‘‘(2) to evaluate the effectiveness of these pro-
grams in improving outcomes for children. 
‘‘(b) GRANTS.—The Secretary shall award grants to 
up to 5 eligible entities to carry out the activities described 
in subsection (a). 
‘‘(c) USE OF FUNDS.—A grant for activities under 
this section shall be used to support the development and 
implementation of programs that use data analysis meth-
ods to identify and facilitate strategies for early interven-
tion and prevention, in order to prevent and mitigate 
childhood trauma and support communities and families, 
including as follows: 
‘‘(1) Utilize data analysis methods to— 
‘‘(A) identify specific geographic areas, 
such as census tracts, with a high prevalence of 
adverse childhood experiences and significant 
risk factors for poor outcomes for children 
(such as increased risk of experiencing adverse 
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1116 
childhood experiences), including areas with 
high rates of— 
‘‘(i) poor public health outcomes in-
cluding illness, disease, suicide, and mor-
tality; 
‘‘(ii) exclusionary discipline practices, 
including suspensions, expulsions, and re-
ferrals to law enforcement, as well as low 
graduation rates; 
‘‘(iii) substance use disorders; 
‘‘(iv) poverty; 
‘‘(v) foster system involvement or re-
ferrals; 
‘‘(vi) housing instability and homeless-
ness; 
‘‘(vii) food insecurity; 
‘‘(viii) inequity, including disparities 
in income, wealth, employment, educational 
attainment, health care access, and public 
health outcomes, along lines of race, sex, 
sexuality and gender identity, ethnicity, or 
nationality; 
‘‘(ix) incarceration rates; or 
‘‘(x) other indicators of adversity as 
defined by the Secretary; and 
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1117 
‘‘(B) identify strategies to improve out-
comes for children aged 0 through 17 that build 
on strengths in communities that could be fur-
ther supported, including— 
‘‘(i) existing support networks for 
families; and 
‘‘(ii) enhanced connections to commu-
nity-based organizations. 
‘‘(2) Implement strategies identified pursuant 
to paragraph (1)(B) to facilitate outreach and in-
volvement of children and their caregivers in Fed-
eral, State, or local programs that provide repar-
ative, gender-responsive, culturally specific, and 
trauma-informed prevention services, and for which 
children and their caregivers are eligible, including— 
‘‘(A) home visiting programs; 
‘‘(B) training and education on parenting 
skills; 
‘‘(C) substance use disorder prevention and 
treatment that is voluntary and noncoercive; 
‘‘(D) mental health supports and care that 
is voluntary and noncoercive; 
‘‘(E) family and intimate partner violence 
prevention services; 
‘‘(F) child advocacy center programming; 
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1118 
‘‘(G) economic and nutrition support serv-
ices; 
‘‘(H) housing support services, including 
emergency and temporary shelter for those ex-
periencing homelessness and housing insecurity, 
as well as stable, long-term housing; 
‘‘(I) voluntary, noncoercive, gender-respon-
sive, and culturally specific mental health sup-
ports in school and early childhood education 
center-based settings; 
‘‘(J) 
wraparound 
programs 
for 
transitioning youth and youth currently in the 
foster system; 
‘‘(K) programming to support the health 
and 
well-being 
of 
lesbian, 
gay, 
bisexual, 
transgender, and intersex children and their 
families; and 
‘‘(L) family resource center services. 
‘‘(d) SPECIAL RULES.— 
‘‘(1) PRIMARY PAYER RESTRICTION.—The Sec-
retary may not award a grant under this section to 
an eligible entity for a service if the service to be 
provided is available pursuant to the State plan ap-
proved under title XIX of the Social Security Act for 
the State in which the program funded by the grant 
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1119 
is being conducted unless the State and all eligible 
subdivisions involved— 
‘‘(A) will enter into agreements with public 
or nonprofit private entities under which the 
entities will provide the service; and 
‘‘(B) demonstrate that the State and all el-
igible subdivisions will ensure that the entities 
providing the service— 
‘‘(i) will seek payment for each such 
service rendered in accordance with the 
usual payment schedule under the State 
plan; and 
‘‘(ii) the entities have entered into a 
participation agreement and are qualified 
to receive payments under such plan. 
‘‘(2) IMPLEMENTATION.—An eligible entity that 
receives a grant under this section may use— 
‘‘(A) not more than 25 percent of the 
amounts made available through the grant for 
the first 24 months of the grant period to uti-
lize data analysis methods to— 
‘‘(i) identify specific geographic areas 
where care coordination, prevention and 
early intervention, and facilitation services 
will be provided; and 
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1120 
‘‘(ii) identify support and intervention 
services to improve outcomes for children 
located in a geographic area identified 
under subsection (c)(1)(A); and 
‘‘(B) not more than 10 percent of the 
grant in each subsequent year to continue data 
analysis activities. 
‘‘(3) ADMINISTRATION.—An eligible entity that 
receives a grant under this section may not use more 
than 5 percent of amounts received through the 
grant for administration, reporting, and program 
oversight functions, including the development of 
systems to improve data collection and data sharing 
for the purposes of improving services and the provi-
sion of care. 
‘‘(4) PRIORITY.— 
‘‘(A) IN
GENERAL.—In awarding grants 
under this section, the Secretary shall give pri-
ority, to the extent practical, to eligible entities 
that use community-based system dynamic 
modeling as the primary data analysis method. 
‘‘(B) SYSTEM
DYNAMIC
MODELING
DE-
FINED.—The term ‘system dynamic modeling’ 
means a method of data analysis and predictive 
modeling that includes— 
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1122 
‘‘(A) IN GENERAL.—An eligible entity that 
receives a grant under this section shall use at 
least 25 percent of the total amount of the 
grant to make subgrants to organizations that 
aide in implementing the strategy identified 
under subsection (c)(1)(B) for preventing and 
mitigating childhood trauma and supporting 
communities and families. 
‘‘(B) ELIGIBILITY.—To be eligible to re-
ceive a subgrant under this paragraph, an orga-
nization shall prepare and submit to the eligible 
entity an application in such form, and con-
taining such information, as the eligible entity 
may require, including evidence that the— 
‘‘(i) needs of the population to be 
served are urgent and are not met by the 
services currently available in the geo-
graphic area; and 
‘‘(ii) the organization has the capacity 
to provide the services listed in subsection 
(c)(2). 
‘‘(C) SUPPLEMENT, 
NOT
SUPPLANT.— 
Subgrant funds received pursuant to this para-
graph by an organization shall be used to sup-
plement and not supplant State or local funds 
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1123 
provided to the partnership organization for 
services listed in subsection (c)(2). 
‘‘(e) APPLICATION.—To be eligible to receive a grant 
under this section, an eligible entity shall submit to the 
Secretary an application in such form, and containing 
such information, as the Secretary may require, to include 
the following: 
‘‘(1) A demonstration that— 
‘‘(A) the applicant utilizes trauma-in-
formed, culturally specific, and gender-respon-
sive practices, including a demonstration of the 
extent to which the applicant has trained staff 
in these practices; 
‘‘(B) the applicant has the capacity to ad-
minister the grant, including conducting all re-
quired data analysis activities; and 
‘‘(C) services will be provided to children 
and families in an accessible, culturally rel-
evant, and linguistically specific manner con-
sistent with local needs. 
‘‘(2) A preliminary analysis of how the appli-
cant will use the grant to— 
‘‘(A) identify the geographic area or areas 
to be served using data analysis methods; 
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1124 
‘‘(B) utilize data analysis methods to iden-
tify strategies to improve outcomes for children 
in the geographic area; 
‘‘(C) facilitate strategies identified through 
care coordination efforts; and 
‘‘(D) track data for evaluation of out-
comes. 
‘‘(3) A detailed project plan for the use of the 
grant that includes anticipated technical assistance 
needs. 
‘‘(4) Additional funding sources, including State 
and local funds, supporting the prevention and miti-
gation of adverse childhood experiences. 
‘‘(f) GRANT AMOUNT.—The amount of a grant under 
this section shall not exceed $9,500,000. 
‘‘(g) PERIOD OF A GRANT.—The period of a grant 
under this section shall not exceed 7 years. 
‘‘(h) SERVICE PROVISION WITHOUT REGARD
TO 
ABILITY TO PAY.—As a condition on receipt of a grant 
under this section, an eligible entity shall agree that any 
assistance provided to an individual through the grant will 
be provided without regard to— 
‘‘(1) the ability of the individual to pay for such 
services; 
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1125 
‘‘(2) the current or past health condition of the 
individual to be served; 
‘‘(3) the immigration status of the individual to 
be served; 
‘‘(4) the sexual orientation and gender identity 
of the individual to be served; and 
‘‘(5) any prior involvement of the individual in 
the criminal legal system. 
‘‘(i) PROHIBITIONS.—In addition to any other prohi-
bitions determined by the Secretary, an eligible entity may 
not use a grant under this section to— 
‘‘(1) use data analysis methods to inform indi-
vidual case decisions, including child removal or 
placement decisions, or to target services at certain 
individuals or families; 
‘‘(2) require any individual or family to partici-
pate in any service or program as a condition of re-
ceipt of a benefit to which the individual or family 
is otherwise eligible; 
‘‘(3) increase the presence or funding of law en-
forcement surveillance, involvement, or activity in 
implementing the strategies identified under sub-
section (c)(1)(B); or 
‘‘(4) enable the practice of conversion therapy. 
‘‘(j) EVALUATION.— 
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1126 
‘‘(1) DATA
MODEL
EVALUATION.—Not later 
than 36 months after the date of enactment of this 
section, the Assistant Secretary for Planning and 
Evaluation of the Department of Health and Human 
Services, in coordination with the grantees receiving 
a grant under this section, shall complete an evalua-
tion of the effectiveness of the data model accuracy 
of the grant program under this section to address 
each of the following: 
‘‘(A) Determining the effectiveness of the 
grantees’ use of data analysis methods to iden-
tify geographic areas pursuant to subsection 
(c)(1). 
‘‘(B) Examining the grantees’ development 
and utilization of data analysis methods. 
‘‘(C) Examining the grantees’ ability to ef-
fectively utilize data analysis methods in future 
prevention work. 
‘‘(D) Establishing a method for rigorously 
evaluating the activities of grantees and com-
paring the reduction of child and family expo-
sure to adverse experiences in other commu-
nities with similar demographics. 
‘‘(E) Examining the grantees’ utilization of 
community-based system dynamics modeling 
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1127 
methods and other community engagement 
methods. 
‘‘(2) PROGRAM EVALUATION.—Not later than 6 
years after the date of enactment of this section, the 
Assistant Secretary for Planning and Evaluation of 
the Department of Health and Human Services, in 
coordination with eligible entities receiving grants 
under this section, shall complete an evaluation of 
the effectiveness of the grant program under this 
section. 
‘‘(3) DATA COLLECTION.— 
‘‘(A) IN
GENERAL.—The Assistant Sec-
retary for Planning and Evaluation of the De-
partment of Health and Human Services and 
each eligible entity receiving a grant under this 
section shall collect any relevant data necessary 
to complete the evaluations required by para-
graphs (1) and (2) to include— 
‘‘(i) the activities funded by the grant 
under this section, including development 
and implementation data analysis methods; 
‘‘(ii) the number of children and of 
families receiving coordination and facilita-
tion of care and services; and 
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1129 
representatives, and researchers in all 
aspects of the research process; and 
‘‘(II) submit a report on the re-
sults of the study to the Congress. 
‘‘(ii) PARTNERS.—In conducting the 
study under clause (i), the Assistant Sec-
retary for Planning and Evaluation of the 
Department of Health and Human Serv-
ices shall ensure that partners and persons 
that have participated in the grant pro-
gram under this section on every level, es-
pecially those such partners or persons re-
ceiving services and support through the 
program, have an opportunity to contribute 
their expertise to evaluating the strategy 
and outcomes. 
‘‘(k) REPORT.—Not later than three months after the 
completion of the evaluation required by subsection (j)(2), 
the Assistant Secretary for Planning and Evaluation of 
the Department of Health and Human Services shall sub-
mit to Congress and make available to the public on the 
internet website of the Department of Health and Human 
Services a report based upon the evaluation under sub-
section (j)(2), to include— 
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1130 
‘‘(1) the impact of the program under this sec-
tion on homelessness and housing insecurity, sub-
stance use disorder and drug deaths, incarceration, 
foster system involvement, and other child and fam-
ily outcomes as identified by the Assistant Secretary 
for Planning and Evaluation of the Department of 
Health and Human Services; 
‘‘(2) an analysis of which elements of the pro-
gram should be replicated and scaled by govern-
mental or non-governmental entities; and 
‘‘(3) such recommendations for legislation and 
administrative action as the Secretary determines 
appropriate. 
‘‘(l) DEFINITIONS.—In this section: 
‘‘(1) The term ‘adverse childhood experience’ 
means a potentially 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. 
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1131 
‘‘(B) Household challenges such as any of 
the following: 
‘‘(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. 
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1132 
‘‘(G) Involvement with the foster system. 
‘‘(H) Experiencing discrimination. 
‘‘(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) The term ‘eligible entity’ means a State or 
local health department. 
‘‘(3) The term ‘practice of conversion ther-
apy’— 
‘‘(A) means any practice or treatment by 
any person that seeks to change another indi-
vidual’s sexual orientation or gender identity, 
including efforts to change behaviors or gender 
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1133 
expressions, or to eliminate or reduce sexual or 
romantic attractions or feelings toward individ-
uals of the same gender, if such person receives 
monetary compensation in exchange for any 
such practice or treatment; and 
‘‘(B) does not include any practice or 
treatment that does not seek to change sexual 
orientation or gender identity and— 
‘‘(i) provides assistance to an indi-
vidual undergoing a gender transition; or 
‘‘(ii) provides acceptance, support, 
and understanding of a client or facilita-
tion of a client’s coping, social support, 
and identity exploration and development. 
‘‘(m) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
for the period of fiscal years 2023 through 2030— 
‘‘(1) to carry out subsection (a)(1) through the 
award of grants under subsection (b)— 
‘‘(A) $47,500,000 for grants; and 
‘‘(B) such sums as may be necessary for 
the administrative costs of carrying out such 
subsection; and 
‘‘(2) $7,500,000 to carry out the evaluation 
under subsection (a)(2).’’. 
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1134 
(b) CARE COORDINATION GRANTS.—Part E of title 
XII of the Public Health Service Act (42 U.S.C. 300d– 
51 et seq.) is amended by adding at the end the following 
new section: 
‘‘SEC. 1255. CARE COORDINATION GRANTS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants to eligible entities to establish or expand trauma- 
informed care coordination services to support— 
‘‘(1) children aged 0 through 5 at risk of ad-
verse childhood experiences; and 
‘‘(2) their caregivers, including prenatal people 
of any age. 
‘‘(b) NUMBER OF GRANTS.—Subject to the avail-
ability of appropriations, the Secretary shall award not 
fewer than 9 and not more than 40 grants under this sec-
tion. 
‘‘(c) AMOUNT OF GRANTS.—Subject to the avail-
ability of appropriations, the amount of a grant under this 
section for a fiscal year shall be— 
‘‘(1) not less than $250,000; and 
‘‘(2) not more than $1,000,000. 
‘‘(d) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under this section, an entity shall be a local gov-
ernment or Indian Tribe, acting through the public health 
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1135 
department thereof if such government or Tribe has a 
public health department. 
‘‘(e) PRIORITY.— 
‘‘(1) IN GENERAL.—In awarding grants under 
this section, the Secretary shall give priority to eligi-
ble entities proposing to serve communities with a 
high need for trauma-informed care coordination 
services, as demonstrated by indicators such as— 
‘‘(A) pregnant people who face barriers to 
prenatal care; 
‘‘(B) mortality or morbidity of people giv-
ing birth or infants; 
‘‘(C) caretakers and parents who are living 
with a mental health condition or substance use 
disorder; 
‘‘(D) a high prevalence of community vio-
lence, including domestic violence, as dem-
onstrated by instances of homicide and public 
health statistics, including treatment of injury 
or trauma; 
‘‘(E) high proportions of low-income chil-
dren; 
‘‘(F) a high prevalence of child fatalities or 
near fatalities related to child abuse and ne-
glect; 
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1136 
‘‘(G) significant disparities in health out-
comes for people giving birth and infants; 
‘‘(H) a high rate of exclusionary discipline 
and referrals to law enforcement; and 
‘‘(I) a high rate of homelessness and hous-
ing instability. 
‘‘(2) DATA
FROM
TRIBAL
AREAS.—The Sec-
retary, acting through the Director of the Indian 
Health Service, shall consult with Indian Tribes to 
establish criteria to measure indicators of need, for 
purposes of paragraph (1), with respect to Tribal 
areas. 
‘‘(f) USE OF FUNDS.— 
‘‘(1) REQUIRED USES.— 
‘‘(A) IN
GENERAL.—A grant received 
under this section shall be used to establish or 
expand gender-responsive, culturally specific, 
trauma-informed care coordination services, in-
cluding by instituting and conducting risk and 
needs assessments including— 
‘‘(i) using strengths-based approaches 
focused on protective factors for children 
and their caregivers, including prenatal 
people of any age; and 
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1137 
‘‘(ii) inputting screening results into a 
centralized intake system to promote a sin-
gle point of access system across providers 
and services. 
‘‘(B) TRAINING.—A grant received under 
this section shall be used to ensure that individ-
uals employed through the grant funds, in 
whole or in part, have received sufficient and 
up-to-date training on trauma-informed care 
and strategies that are reparative, culturally 
sensitive, gender-responsive, and healing-cen-
tered. 
‘‘(2) PERMISSIBLE
USES.—A grant received 
under this section may be used for any of the fol-
lowing: 
‘‘(A) Employing care coordinators, case 
managers, community health workers, certified 
infant mental health specialists, and outreach 
and engagement specialists to work with chil-
dren and their caregivers, including prenatal in-
dividuals, to prevent and respond to adverse 
childhood experiences by connecting clients with 
culturally specific, trauma-informed care treat-
ment services, including economic, social, food, 
and housing supports. 
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1138 
‘‘(B) Providing training described in para-
graph (1)(B) to community health providers 
and community partners. 
‘‘(C) Expanding, enhancing, modifying, 
and connecting the existing network of commu-
nity programs and services to achieve a more 
comprehensive and coordinated system of care 
approach, including— 
‘‘(i) developing local infrastructure to 
bolster and shape community support sys-
tems and map and build access to services 
in a coordinated and comprehensive way; 
and 
‘‘(ii) creating infrastructure to con-
duct outreach to children and families, in-
cluding those experiencing homelessness 
and housing instability, so they acquire ac-
cess to the services and supports they need 
and the benefits to which they are entitled. 
‘‘(D) Compiling information on resources 
(including 
any 
referral 
services) 
available 
through community-based organizations and 
local, State, and Federal agencies, such as— 
‘‘(i) programs addressing social deter-
minants of health, including— 
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1139 
‘‘(I) emergency, temporary, and 
long-term housing; 
‘‘(II) programs that offer free or 
affordable and nutritious food; 
‘‘(III) vocational and workforce 
development; and 
‘‘(IV) transportation supports; 
‘‘(ii) home visiting programs for new 
parents and their infants; 
‘‘(iii) workforce development programs 
to support caregivers in skill building; 
‘‘(iv) 
trauma-responsive, 
parenting 
skills-building programs; 
‘‘(v) the continuum of substance use 
prevention, intervention, and treatment 
programs and mental health support pro-
grams, including programs with trauma-in-
formed, gender-responsive, and culturally 
specific counseling; and 
‘‘(vi) childcare support and early 
childhood education, including Head Start 
and Early Head Start programs. 
‘‘(E) Subject to subsection (g)(2), estab-
lishing or updating a database that compiles 
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data used to track the effectiveness of the care 
coordination services funded through the grant. 
‘‘(F) Developing and implementing referral 
partnership agreements with community-based 
organizations, parent organizations, substance 
use disorder treatment providers and facilities, 
housing and shelter providers, health care pro-
viders, mental health care providers, and Fed-
eral and State offices and programs that imple-
ment practices to support children ages 0 
through 5 who are at risk of adverse childhood 
experiences and their caregivers, including pre-
natal people. Such practices shall include— 
‘‘(i) a bilateral ‘warm handoff’ system 
whereby a grantee understands the needs 
of the children and their families, and fam-
ilies are involved in addressing these needs; 
and 
‘‘(ii) an active service connection 
whereby the children and families are each 
actively connected with a resource in a 
well-coordinated way that ensures avail-
ability and direct contact. 
‘‘(G) Supporting cross-system planning 
and collaboration among employees who may 
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1141 
work in emergency medical services, health care 
services, public health, early childhood edu-
cation, and substance use disorder treatment 
and recovery support. 
‘‘(H) Providing or subsidizing services to 
address barriers that children, prenatal individ-
uals, and caregivers face to utilizing community 
resources and services, such as by providing or 
subsidizing transportation or childcare costs as 
applicable and within reasonable amounts. 
‘‘(I) Creating or expanding infrastructure 
and investing in technology, including the provi-
sion of communications technology and internet 
service to children and their caregivers, to en-
able increased telemedicine capabilities to reach 
participants. 
‘‘(3) INDIAN TRIBES.—In the case of an eligible 
entity that is an Indian tribe, the Secretary may 
waive such provisions of this subsection as the Sec-
retary determines appropriate. 
‘‘(4) PROHIBITIONS.—In addition to any other 
prohibitions determined by the Secretary, an eligible 
entity may not use a grant under this section to— 
‘‘(A) use data analysis methods to inform 
individual case decisions, including child re-
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1142 
moval or placement decisions, or to target serv-
ices at certain individuals or families; 
‘‘(B) require any individual or family to 
participate in any service or program as a con-
dition of receipt of a benefit to which the indi-
vidual or family is otherwise eligible; or 
‘‘(C) increase the presence or funding of 
law enforcement surveillance, involvement, or 
activity in connection with trauma-informed 
care coordination services supported pursuant 
to this section. 
‘‘(g) REQUIREMENTS.—As a condition on receipt of 
a grant under this section, an eligible entity shall agree 
to each of the following funding conditions: 
‘‘(1) RESTRICTION OF FUNDING ALLOCATION.— 
The eligible entity will not use more than 30 percent 
of the funds made available to the entity through the 
grant (for the total grant period) to establish or up-
date a database pursuant to subsection (f)(2)(E). 
‘‘(2) ACCESSIBLE SETTING.— 
‘‘(A) IN GENERAL.—The eligible entity will 
ensure that all care coordination services pro-
vided through the grant are provided in a set-
ting that is accessible, including through mobile 
settings, to— 
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1143 
‘‘(i) low-income or no-income individ-
uals, including individuals experiencing 
homelessness or housing instability; and 
‘‘(ii) individuals in rural areas. 
‘‘(B) COMMUNITY
OUTREACH.—In com-
plying with subparagraph (A), the eligible entity 
will ensure that at least 50 percent of the care 
coordination services provided through the 
grant occur in community settings that are con-
venient to the children and caregivers who are 
being served, such as homes, schools, and shel-
ters, whether for initial outreach or as part of 
long-term care. 
‘‘(3) 
SUPPLEMENT, 
NOT
SUPPLANT.—The 
grant will be used to supplement, not supplant other 
Federal, State, or local funds available for care co-
ordination services. 
‘‘(4) CONFIDENTIALITY.—The eligible entity 
will maintain the confidentiality of individuals receiv-
ing services through the grant in a manner con-
sistent with applicable law. 
‘‘(5) PARTNERING; RISK STRATIFICATION.—In 
providing care coordination services through the 
grant, the eligible entity will— 
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1144 
‘‘(A) partner with community-based orga-
nizations with experience serving child popu-
lations prenatally through age 5; 
‘‘(B) coordinate with the local agency re-
sponsible for administering the State plan ap-
proved under title XIX of the Social Security 
Act; and 
‘‘(C) employ risk stratification to develop 
different effective models of care for different 
populations based on their needs. 
‘‘(h) APPLICATION.— 
‘‘(1) IN GENERAL.—To seek a grant under this 
section, an eligible entity shall submit an application 
to the Secretary at such time, in such manner, and 
containing such information, as the Secretary may 
require. 
‘‘(2) CONTENTS.—An application under para-
graph (1) shall, at a minimum, contain each of the 
following: 
‘‘(A) Goals to be achieved through the 
grant, including the activities that will be un-
dertaken to achieve those goals. 
‘‘(B) The number of individuals likely to 
be served through the grant, including demo-
graphic data on the populations to be served. 
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1145 
‘‘(C) Existing programs and services that 
can be used to significantly increase the propor-
tion of children and families who receive needed 
supports and services. 
‘‘(D) A plan for expanding, coordinating, 
or modifying the existing network of programs 
and services to meet the needs of children and 
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— 
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1146 
‘‘(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; 
‘‘(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— 
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1147 
‘‘(i) decreased presence of law en-
forcement or other punitive State surveil-
lance in the community; 
‘‘(ii) a parent completing substance 
use treatment; 
‘‘(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 
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1148 
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. 
‘‘(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. 
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1149 
‘‘(ii) Physical abuse. 
‘‘(iii) Sexual abuse. 
‘‘(B) Household challenges such as any of 
the following: 
‘‘(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. 
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1150 
‘‘(E) Experiencing food insecurity and 
poor nutrition. 
‘‘(F) Witnessing violence. 
‘‘(G) Involvement with the foster system. 
‘‘(H) Experiencing discrimination. 
‘‘(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-
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1151 
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; 
‘‘(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. 
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1152 
‘‘(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. 
‘‘(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.’’. 
SEC. 6075. IMPROVING ACCESS TO MENTAL HEALTH. 
(a) ACCESS TO CLINICAL SOCIAL WORKERS.—Sec-
tion 1833(a)(1)(F)(ii) of the Social Security Act (42 
U.S.C. 1395l(a)(1)(F)(ii)) is amended by striking ‘‘75 
percent of the amount determined for payment of a psy-
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1154 
HCPCS codes 96150 through 96161 (and any succeeding 
codes)), but not including services’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to items and services furnished on 
or after January 1, 2022. 
SEC. 6076. MENTAL HEALTH IN SCHOOLS EXCELLENCE 
PROGRAM. 
(a) PROGRAM TO ESTABLISH PUBLIC-PRIVATE CON-
TRIBUTIONS TO INCREASE THE AVAILABLE WORKFORCE 
OF SCHOOL-BASED MENTAL HEALTH SERVICE PRO-
VIDERS.— 
(1) PROGRAM
AUTHORIZED.—The Secretary 
shall carry out a program under which eligible grad-
uate institutions may enter into an agreement with 
the Secretary to cover a portion of the cost of at-
tendance of a participating student, which contribu-
tions shall be matched by equivalent contributions 
towards such cost of attendance by the Secretary. 
(2) DESIGNATION OF PROGRAM.—The program 
under this subsection shall be known as the ‘‘Mental 
Health in Schools Excellence Program’’. 
(3) AGREEMENTS.—The Secretary shall enter 
into an agreement with each eligible graduate insti-
tution seeking to participate in the program under 
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1155 
this section. Each agreement shall specify the fol-
lowing: 
(A) The manner (whether by direct grant, 
scholarship, or otherwise) in which the eligible 
graduate institution will contribute to the cost 
of attendance of a participating student. 
(B) The maximum amount of the contribu-
tion to be made by the eligible graduate institu-
tion with respect to any particular participating 
student in any given academic year. 
(C) The maximum number of individuals 
for whom the eligible graduate institution will 
make contributions in any given academic year. 
(D) That the eligible graduate institution, 
in selecting participating students to receive as-
sistance under the program, shall prioritize the 
participating students described in paragraph 
(4)(B). 
(E) Such other matters as the Secretary 
and the eligible graduate institution determine 
appropriate. 
(4) OUTREACH.—The Secretary shall— 
(A) make publicly available and periodi-
cally update on the internet website of the De-
partment of Education a list of the eligible 
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1156 
graduate institutions participating in the pro-
gram under this subsection that shall specify, 
for each such graduate institution, appropriate 
information on the agreement between the Sec-
retary and such college or university under 
paragraph (3); and 
(B) conduct outreach about the program 
under this section to participating students 
who, as undergraduates— 
(i) received a Federal Pell Grant 
under section 401 of the Higher Education 
Act of 1965 (20 U.S.C. 1070a); or 
(ii) attended an institution listed in 
section 371(a) of the Higher Education 
Act of 1965 (20 U.S.C. 1067q(a)). 
(5) MATCHING
CONTRIBUTIONS.—The Sec-
retary may provide a contribution of up to 50 per-
cent of the cost of attendance of a participating stu-
dent if the eligible graduate institution at which 
such student is enrolled enters into an agreement 
under paragraph (3) with the Secretary to match 
such contribution. 
(b) DEFINITIONS.—In this section: 
(1) COST OF ATTENDANCE.—The term ‘‘cost of 
attendance’’ has the meaning given the term in sec-
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1157 
tion 472 of the Higher Education Act of 1965 (20 
U.S.C. 1087ll). 
(2) ELIGIBLE
GRADUATE
INSTITUTION.—The 
term ‘‘eligible graduate institution’’ means an insti-
tution of higher education that offers a program of 
study that leads to a graduate degree— 
(A) in school psychology that is accredited 
or approved by the National Association of 
School Psychologists’ Program Accreditation 
Board or the Commission on Accreditation of 
the American Psychological Association and 
that prepares students in such program for the 
State licensing or certification examination in 
school psychology at the specialist level; 
(B) in an accredited school counseling pro-
gram that prepares students in such program 
for the State licensing or certification examina-
tion in school counseling; 
(C) in school social work that is accredited 
by the Council on Social Work Education and 
that prepares students in such program for the 
State licensing or certification examination in 
school social work; 
(D) in another school-based mental health 
field that prepares students in such program 
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1158 
for the State licensing or certification examina-
tion in such field, if applicable; or 
(E) in any combination of study described 
in subparagraphs (A) through (D). 
(3) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given such term in section 101 of the High-
er Education Act of 1965 (20 U.S.C. 1001), but ex-
cludes any institution of higher education described 
in section 102(a)(1)(C) of such Act. 
(4) PARTICIPATING STUDENT.—The term ‘‘par-
ticipating student’’ means an individual who is en-
rolled in a graduate degree program in a school- 
based mental health field at a participating eligible 
graduate institution. 
(5) SCHOOL-BASED MENTAL HEALTH FIELD.— 
The term ‘‘school-based mental health field’’ means 
each of the following fields: 
(A) School counseling. 
(B) School social work. 
(C) School psychology. 
(D) Any other field of study that leads to 
employment as a school-based mental health 
services provider, as determined by the Sec-
retary. 
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1159 
(6) SCHOOL-BASED MENTAL HEALTH SERVICES 
PROVIDER.—The term ‘‘school-based mental health 
services provider’’ has the meaning given the term in 
section 4102 of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 7112). 
(7) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Education. 
SEC. 6077. SCHOOL SOCIAL WORKERS IMPROVING STU-
DENT SUCCESS. 
(a) SCHOOL SOCIAL WORKER GRANTS.— 
(1) PURPOSES.—The purpose of this section is 
to assist States and local educational agencies in hir-
ing additional school social workers in order to in-
crease access to mental health and other student 
support services to students in elementary and sec-
ondary schools in the United States to the minimum 
ratios recommended by the National Association of 
Social Workers, the School Social Work Association 
of America, and the American Council for School 
Social Work of one school social worker for every 
250 students, and one school social worker for every 
50 students when a social worker is providing serv-
ices to students with intensive needs. 
(2) ESEA AMENDMENT.—Subpart 4 of part F 
of title IV of the Elementary and Secondary Edu-
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1160 
cation Act of 1965 (10 U.S.C. 7271 et seq.) is 
amended by adding at the end the following new sec-
tion: 
‘‘SEC. 4645. GRANTS FOR SCHOOL SOCIAL WORKERS. 
‘‘(a) GRANTS AUTHORIZED.— 
‘‘(1) IN GENERAL.—From the amounts appro-
priated under subsection (g), the Secretary shall 
award grants to high-need local educational agencies 
to enable such agencies to retain school social work-
ers employed by such agencies or to hire additional 
school social workers. 
‘‘(2) DURATION.—A grant awarded under this 
section shall be awarded for a period not to exceed 
4 years. 
‘‘(3) SUPPLEMENT, NOT
SUPPLANT.—Funds 
made available under this section shall be used to 
supplement, and not to supplant, other Federal, 
State, or local funds used for hiring and retaining 
school social workers. 
‘‘(b) APPLICATION.— 
‘‘(1) IN GENERAL.—To be eligible to receive a 
grant under this section, a high-need local edu-
cational agency shall submit to the Secretary an ap-
plication at such time, in such manner, and con-
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1161 
taining such information as the Secretary may re-
quire. 
‘‘(2) CONTENTS.—An application submitted 
under paragraph (1) shall include an assurance that 
each school social worker who receives assistance 
under the grant will provide the services described in 
subsection (d), and a description of the specific serv-
ices to be provided by such social worker. 
‘‘(c) USE OF FUNDS.—A high-need local educational 
agency receiving a grant under this section— 
‘‘(1) shall use the grant— 
‘‘(A) to achieve a ratio of not less than 1 
school social worker for every 250 students 
served by the agency, by— 
‘‘(i) retaining school social workers 
employed by such agency; or 
‘‘(ii)(I) employing additional school 
social workers; or 
‘‘(II) hiring contractors to serve as 
school social workers only in a case in 
which— 
‘‘(aa) the local educational agen-
cy demonstrates to the Secretary that 
the agency— 
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1162 
‘‘(AA) has not been able to 
employ a sufficient number of 
school social workers under sub-
clause (I) to achieve such ratio 
despite strong and continuing ef-
forts to recruit and employ school 
social workers; and 
‘‘(BB) hiring contractors is 
the only viable option to ensure 
students have adequate access to 
school social work services; and 
‘‘(bb) each such contractor meets 
the requirements of subparagraphs 
(A) and (B) of subsection (h)(2); and 
‘‘(B) to ensure that each school social 
worker who receives assistance under such 
grant provides the services described in sub-
section (d); and 
‘‘(2) may use the grant to reimburse school so-
cial workers who receive assistance under such grant 
for— 
‘‘(A) in the case of a school served by the 
agency in which the majority of students are 
higher risk students, to hire or retain additional 
school social workers in accordance with clauses 
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(i) and (ii) of paragraph (1)(A) to achieve a 
ratio of not less than 1 school social worker for 
every 50 students; 
‘‘(B) travel expenses incurred during home 
visits and other school-related trips; 
‘‘(C) any additional expenses incurred by 
such social workers in rendering any service de-
scribed in subsection (d); and 
‘‘(D) the cost of clinical social work super-
vision for such social workers. 
‘‘(d) RESPONSIBILITIES OF A SCHOOL SOCIAL WORK-
ER.—A school social worker who receives assistance under 
a grant under this section shall provide the following serv-
ices: 
‘‘(1) Identifying high-need students in each 
school that the social worker serves, and targeting 
services provided at the school to such students. 
‘‘(2) Providing students in each school that the 
school social worker serves, social work services to 
promote school engagement and improve academic 
outcomes, including— 
‘‘(A) counseling and crisis intervention; 
‘‘(B) trauma-informed services; 
‘‘(C) evidence-based educational, behav-
ioral, and mental health services (such as imple-
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1164 
menting multi-tiered programs and practices, 
monitoring progress, and evaluating service ef-
fectiveness); 
‘‘(D) addressing the social and emotional 
learning needs of students; 
‘‘(E) promoting a school climate and cul-
ture conducive to student learning and teaching 
excellence (such as promoting effective school 
policies and administrative procedures, enhanc-
ing the professional capacity of school per-
sonnel, and facilitating engagement between 
student, family, school, and community); 
‘‘(F) providing access to school-based and 
community based resources (such as promoting 
a continuum of services, mobilizing resources 
and promoting assets, and providing leadership, 
interdisciplinary collaboration, systems coordi-
nation, professional consultation, and con-
necting students and families to resource sys-
tems); 
‘‘(G) working with students, families, 
schools, and communities to address barriers to 
educational attainment (such as homelessness 
and housing insecurity, lack of transportation, 
food insecurity, equity, social justice issues, ac-
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1165 
cess to quality education, and school, family, 
and community risk factors); 
‘‘(H) providing assistance to schools and 
teachers to design social-emotional, educational, 
behavioral, and mental health interventions; 
‘‘(I) case management activities to coordi-
nate the delivery of and access to the appro-
priate social work services to the highest-need 
students; 
‘‘(J) home visits to meet the family of stu-
dents in need of social work services in the 
home environment; 
‘‘(K) supervising or coordinating district 
level school social work services; and 
‘‘(L) other services the Secretary deter-
mines, in partnership with students, educators, 
and community member voices are necessary to 
be carried out by such a social worker. 
‘‘(e) GRANT RENEWAL.— 
‘‘(1) IN
GENERAL.—A grant awarded under 
this section may be renewed for additional periods 
with the same duration as the original grant period. 
‘‘(2) CONTINUING ELIGIBILITY APPLICATION.— 
To be eligible for a renewal under this section a 
high-need local educational agency shall submit to 
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‘‘(B) after submitting the notification 
under paragraph (1), requests such technical 
assistance. 
‘‘(g) AUTHORIZATION FOR APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
$100,000,000 for each of fiscal years 2023 through 2027. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) HIGH-NEED LOCAL EDUCATIONAL AGEN-
CY.—The term ‘high-need local educational agency’ 
has the meaning given the term in section 200 of the 
Higher Education Act of 1965 (20 U.S.C. 1021). 
‘‘(2) SCHOOL
SOCIAL
WORKER.—The term 
‘school social worker’ means an individual who— 
‘‘(A) has a graduate degree in social work 
from a social work program that is accredited 
by the Council on Social Work Education; and 
‘‘(B) meets all other State and local 
credentialing requirements for practicing as a 
social worker in an elementary school or sec-
ondary school.’’. 
(b) NATIONAL TECHNICAL ASSISTANCE CENTER FOR 
SCHOOL SOCIAL WORK.— 
(1) IN GENERAL.—The Secretary of Education, 
acting through the Assistant Secretary, shall estab-
lish an evaluation, documentation, dissemination, 
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1168 
and technical assistance resource center to provide 
appropriate information, training, and technical as-
sistance to States, political subdivisions of States, 
federally recognized Indian Tribes, Tribal organiza-
tions, institutions of higher education, State and 
local educational agencies, and individual students 
and educators with respect to hiring and retaining 
school social workers at elementary schools and sec-
ondary schools served by local educational agencies. 
(2) RESPONSIBILITIES OF THE CENTER.—The 
center established under paragraph (1) shall conduct 
activities for the purpose of— 
(A) developing and continuing statewide or 
Tribal strategies for improving the effectiveness 
of the school social work workforce; 
(B) studying the costs and effectiveness of 
school social work programs at institutions of 
higher education to identify areas of improve-
ment and provide information on relevant issues 
of importance to State, Tribal, and national 
policymakers; 
(C) working with Federal agencies and 
other State, Tribal, and national stakeholders 
to collect, evaluate, and disseminate data re-
garding school social work ratios, outcomes and 
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1169 
best practices of school-based mental health 
services, and impact of expanding the number 
of school social workers within elementary 
schools and secondary schools; and 
(D) establishing partnerships among Na-
tional, State, Tribal, and local governments, 
and local educational agencies, institutions of 
higher education, non-profit organizations, and 
State and national trade associations for the 
purposes of— 
(i) data collection and dissemination; 
(ii) establishing a school social work 
workforce development program; 
(iii) documenting the success of school 
social work methods on a national level; 
and 
(iv) conducting other activities deter-
mined appropriate by the Secretary. 
(3) DEFINITIONS.—In this subsection: 
(A) ESEA TERMS.—Except as otherwise 
provided, any term used in this subsection that 
is defined in section 8101 of the Elementary 
and Secondary Education Act of 1965 (20 
U.S.C. 7801) shall have the meaning given that 
term in such section. 
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1170 
(B) SCHOOL SOCIAL WORKER.—The term 
‘‘school social worker’’ has the meaning given 
the term in section 4645(h) of the Elementary 
and Secondary Education Act of 1965, as 
added by subsection (a). 
SEC. 6078. OPIOID GRANTS TO SUPPORT CAREGIVERS, KIN-
SHIP CARE FAMILIES, AND KINSHIP CARE-
GIVERS. 
(a) OPIOID GRANTS.—Section 1003(b)(2) of the 21st 
Century Cures Act (42 U.S.C. 290ee–3 note) is amend-
ed— 
(1) by redesignating subparagraph (E) as sub-
paragraph (F); and 
(2) by inserting after subparagraph (D) the fol-
lowing: 
‘‘(E) Supporting opioid abuse prevention 
and treatment services within a State provided 
by State and local agencies for children and 
caregivers, kinship care families, and kinship 
caregivers through— 
‘‘(i) workforce recruitment and train-
ing; 
‘‘(ii) health care services (including 
such services described in subparagraph 
(D)); and 
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1171 
‘‘(iii) foster and adoptive parent re-
cruitment and training.’’. 
(b) DEFINITIONS.—Section 1003 of the 21st Century 
Cures Act (42 U.S.C. 290ee–3 note) is amended— 
(1) by redesignating subsections (h), (i), and (j) 
as subsections (i), (j), and (k), respectively; and 
(2) by inserting after subsection (g) the fol-
lowing: 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) The term ‘kinship care family’ means a 
family with a kinship caregiver. 
‘‘(2) The term ‘kinship caregiver’ means a rel-
ative of a child by blood, marriage, or adoption, 
who— 
‘‘(A) lives with the child; 
‘‘(B) is the primary caregiver of the child 
because the biological or adoptive parent of the 
child is unable or unwilling to serve as the pri-
mary caregiver of the child; and 
‘‘(C) has a legal relationship to the child or 
is raising the child informally.’’. 
(c) AUTHORIZATION OF APPROPRIATIONS.—Section 
1003(i) of the 21st Century Cures Act (42 U.S.C. 290ee– 
3 note), as redesignated, is amended by inserting ‘‘, and 
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1172 
$255,000,000 for each of fiscal years 2022 through 2026’’ 
after ‘‘2021’’. 
(d) SET ASIDE.—Section 1003(j) of the 21st Century 
Cures Act (42 U.S.C. 290ee–3 note), as redesignated, is 
amended— 
(1) by striking ‘‘, and up to’’ and inserting ‘‘, 
up to’’; and 
(2) by inserting before the period at the end ‘‘, 
and 1 percent of such amount for such fiscal year 
shall be made available to carry out subsection 
(b)(2)(E)’’. 
SEC. 6079. ADVANCING STUDENT SERVICES IN SCHOOLS 
TODAY ACT (ASSIST ACT). 
(a) PROGRAM TO INCREASE MENTAL HEALTH AND 
SUBSTANCE
USE
DISORDER
CARE
PROVIDERS
IN 
SCHOOLS AND SCHOOL-BASED HEALTH CENTERS.—Sub-
part I of part D of title III of the Public Health Service 
Act (42 U.S.C. 254b et seq.) is amended by adding at 
the end the following: 
‘‘SEC. 330O. PROGRAM TO INCREASE MENTAL HEALTH AND 
SUBSTANCE 
USE 
DISORDER 
CARE 
PRO-
VIDERS IN SCHOOLS AND SCHOOL-BASED 
HEALTH CENTERS. 
‘‘(a) IN GENERAL.—Not later than 3 months after 
the date of enactment of this section, the Secretary, in 
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1175 
‘‘(A) a local educational agency, as defined 
in section 8101 of the Elementary and Sec-
ondary Education Act of 1965; 
‘‘(B) an institution of higher education (as 
defined in section 101 of the Higher Education 
Act of 1965); 
‘‘(C) a school operated by the Bureau of 
Indian Affairs; or 
‘‘(D) a school-based health center, as de-
fined in section 399Z–1(a)(3). 
‘‘(2) MENTAL
HEALTH
AND
SUBSTANCE
USE 
DISORDER CARE PROVIDER.—The term ‘behavioral 
health care provider’ means an individual who is li-
censed to provide mental and behavioral health serv-
ices, including— 
‘‘(A) a school counselor; 
‘‘(B) a school psychologist or any other 
psychologist; 
‘‘(C) a psychiatrist who specializes in child 
or adolescent psychiatry; 
‘‘(D) a school social worker; and 
‘‘(E) other providers, as the Secretary de-
termines appropriate.’’. 
(b) INCREASING
THE
APPLICABLE
FMAP FOR 
STATE EXPENDITURES ATTRIBUTABLE TO CERTAIN BE-
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1176 
HAVIORAL HEALTH SERVICES.—Section 1905 of the So-
cial Security Act (42 U.S.C. 1396d) is amended— 
(1) in subsection (b), by striking ‘‘and (ii)’’ and 
inserting ‘‘(ii), and (jj)’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(jj)(1) Notwithstanding any preceding provision of 
this section, with respect to State expenditures for medical 
assistance consisting of services provided by a behavioral 
care provider and furnished at a school (as defined in sec-
tion 330O(d) of the Public Health Service Act) or at a 
school-based health center (as defined in section 399Z– 
1(a)(3) of such Act) on or after the date that is 3 months 
after the date of the enactment of this subsection, the 
Federal medical assistance percentage otherwise deter-
mined under subsection (b) shall, subject to paragraph 
(2), be equal to 90 percent. 
‘‘(2) Paragraph (1) shall not apply in the case of 
State expenditures described in such paragraph if applica-
tion of such paragraph would result in a lower Federal 
medical assistance percentage for such expenditures than 
would otherwise apply without application of such para-
graph.’’. 
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1177 
TITLE VII—ADDRESSING HIGH 
IMPACT MINORITY DISEASES 
Subtitle A—Cancer 
SEC. 7001. LUNG CANCER MORTALITY REDUCTION. 
(a) FINDINGS.—Congress makes the following find-
ings: 
(1) Lung cancer is the leading cause of cancer 
death for both men and women, accounting for 25 
percent of all cancer deaths. 
(2) Since the National Cancer Act of 1971 
(Public Law 92–218; 85 Stat. 778), coordinated and 
comprehensive research has raised the 5-year sur-
vival rates for breast cancer to 90 percent, for pros-
tate cancer to 99 percent, and for colon cancer to 
64 percent. 
(3) The 5-year survival rate for lung cancer is 
still only 18 percent, and a similar coordinated and 
comprehensive research effort is required to achieve 
increases in lung cancer survivability rates. 
(4) Sixty percent of lung cancer cases are now 
diagnosed in nonsmokers or former smokers. 
(5) Two-thirds of nonsmokers diagnosed with 
lung cancer are women. 
(6) Certain minority populations, such as Afri-
can-American males, have disproportionately high 
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1178 
rates of lung cancer incidence and mortality, despite 
their smoking rate being similar to other racial 
groups. 
(7) Members of the Baby Boomer Generation 
are entering their 60s, the most common age at 
which people develop lung cancer. 
(8) Tobacco addiction and exposure to other 
lung cancer carcinogens such as Agent Orange and 
other herbicides and battlefield emissions are serious 
problems among military personnel and war vet-
erans. 
(9) Significant and rapid improvements in lung 
cancer mortality can be expected through greater 
use and access to lung cancer screening tests for at- 
risk individuals. 
(10) Recent research has shown that screening 
with low-dose computed tomography scan reduced 
lung cancer death mortality by 20 percent for those 
with a high risk of lung cancer through early detec-
tion. The Centers for Medicare & Medicaid Services 
supports annual lung cancer screening for high-risk 
patients with low-dose computed tomography. 
(11) Additional strategies are necessary to fur-
ther enhance the existing tests and therapies avail-
able to diagnose and treat lung cancer in the future. 
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(12) The August 2001 Report of the Lung 
Cancer Progress Review Group of the National Can-
cer Institute stated that funding for lung cancer re-
search was ‘‘far below the levels characterized for 
other common malignancies and far out of propor-
tion to its massive health impact’’. 
(13) The Report of the Lung Cancer Progress 
Review Group identified as its ‘‘highest priority’’ the 
creation of integrated, multidisciplinary, multi-insti-
tutional research consortia organized around the 
problem of lung cancer rather than around specific 
research disciplines. 
(14) The United States must enhance its re-
sponse to the issues raised in the Report of the 
Lung Cancer Progress Review Group, and this can 
be accomplished through the establishment of a co-
ordinated effort designed to reduce the lung cancer 
mortality rate by 50 percent by 2020 and targeted 
funding to support this coordinated effort. 
(b) SENSE OF CONGRESS CONCERNING INVESTMENT 
IN LUNG CANCER RESEARCH.—It is the sense of the Con-
gress that— 
(1) lung cancer mortality reduction should be 
made a national public health priority; and 
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