TITLE I—COMMUNITY 
PROGRAMMING 
SEC. 101. TRAUMA-RELATED COORDINATING BODIES. 
Title V of the Public Health Service Act is amended 
by inserting after section 520A (42 U.S.C. 290bb–32) the 
following: 
‘‘SEC. 520B. TRAUMA-RELATED COORDINATING BODIES TO 
ADDRESS COMMUNITY TRAUMA. 
‘‘(a) GRANTS.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Assistant Secretary, shall award grants 
to State, county, local, or Indian tribe or tribal orga-
nizations (as such terms are defined in section 4 of 
the Indian Self-Determination Act and Education 
Assistance Act) or nonprofit private entities for dem-
onstration projects to enable such entities to act as 
coordinating bodies to address community trauma. 
‘‘(2) AMOUNT.—The Secretary shall award such 
grants in amounts of not more than $4,000,000. 
‘‘(3) DURATION.—The Secretary shall award 
such grants for periods of 4 years. 
‘‘(b) ELIGIBLE ENTITIES.— 
‘‘(1) IN GENERAL.—To be eligible to receive a 
grant under this section, an entity shall include 1 or 
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more representatives of each of the categories de-
scribed in paragraph (2). 
‘‘(2) COMPOSITION.—The categories referred to 
in paragraph (1) are— 
‘‘(A) governmental agencies, such as public 
health, human services, or child welfare agen-
cies, that conduct activities to screen, assess, 
provide services or referrals, prevent, or provide 
treatment to support infants, children, youth, 
and their families as appropriate, that have ex-
perienced or are at risk of experiencing trauma; 
‘‘(B) faculty or qualified staff at an insti-
tution of higher education (as defined in section 
101(a) of the Higher Education Act of 1965) 
or representatives of a member of the National 
Child Traumatic Stress Network, in an area re-
lated to screening, assessment, service provision 
or referral, prevention, or treatment to support 
infants, children, youth, and their families, as 
appropriate, that have experienced or are at 
risk of experiencing trauma; 
‘‘(C) hospitals, health care clinics, or other 
health care institutions, such as mental health 
and substance use treatment facilities; 
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‘‘(D) the criminal justice system with re-
spect to adults and juveniles, which may include 
law enforcement, judicial, or court employees; 
‘‘(E) local educational agencies or agencies 
responsible for early childhood education pro-
grams, which may include Head Start and 
Early Head Start agencies; 
‘‘(F) community-based faith, human serv-
ices, or social services organizations, including 
providers of after-school programs, home vis-
iting programs, agencies that serve victims of 
domestic and family violence and child sexual 
abuse, or programs to prevent or address the 
impact of violence and addiction; and 
‘‘(G) the general public, including individ-
uals who have experienced trauma. 
‘‘(3) QUALIFICATIONS.—In order for an entity 
to be eligible to receive the grant under this section, 
the representatives included in the entity shall, col-
lectively, have professional training and expertise 
concerning childhood trauma and evidence-based, 
evidence-informed, and promising best practices to 
prevent and mitigate the impact of exposure to trau-
ma. 
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‘‘(c) APPLICATION.—To be eligible to receive a grant 
under this section, an entity shall submit an application 
to the Secretary at such time, in such manner, and con-
taining such information as the Secretary may require, in-
cluding information describing how the coordinating body 
funded under the grant will continue its activities after 
the end of the grant period. 
‘‘(d) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall give priority to entities proposing 
to serve communities that have faced high rates of commu-
nity trauma, including from intergenerational poverty, 
civil unrest, discrimination, or oppression, which may in-
clude an evaluation of— 
‘‘(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; and 
‘‘(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. 
‘‘(e) USE OF FUNDS.—An entity that receives a grant 
under this section to act as a coordinating body shall use 
the grant funds— 
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‘‘(1) to bring together stakeholders who provide 
or use services in, or have expertise concerning, cov-
ered settings to identify community needs and re-
sources related to services to prevent or address the 
impact of trauma, and to build on any needs assess-
ments conducted by organizations or groups rep-
resented on the coordinating body; 
‘‘(2)(A) to collect data, on indicators specified 
by the Secretary, that covers multiple covered set-
tings; and 
‘‘(B) to use the data to identify unique commu-
nity challenges and barriers, gaps in services, and 
high-need areas, related to services to prevent or ad-
dress the impact of trauma; 
‘‘(3) to build awareness, skills, and leadership 
(including through culturally sensitive, trauma-in-
formed training and public outreach campaigns) re-
lated to implementing the best practices developed 
under section 7132(d) of the SUPPORT for Pa-
tients and Communities Act (Public Law 115–271) 
(referred to in this subsection as the ‘developed best 
practices’); and 
‘‘(4) to develop a strategic plan that identi-
fies— 
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‘‘(A) policy goals and coordination oppor-
tunities (including coordination in applying for 
grants) relating to implementing the developed 
best practices; and 
‘‘(B) a comprehensive, integrated approach 
for the entity and its members to prevent and 
mitigate the impact of exposure to trauma in 
the community, and to assist the community in 
healing from existing and prior exposure to 
trauma. 
‘‘(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. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$50,000,000 for the period of fiscal years 2020 through 
2023. 
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‘‘(i) DEFINITION.—In this section, the term ‘covered 
setting’ means the settings in which individuals may come 
into contact with infants, children, youth, and their fami-
lies, as appropriate, who have experienced or are at risk 
of experiencing trauma, including schools, hospitals, set-
tings where health care providers, including primary care 
and pediatric providers, 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 treatment fa-
cilities, substance use treatment facilities, faith-based in-
stitutions, domestic violence agencies, child advocacy cen-
ters, homeless services system facilities, refugee services 
system facilities, juvenile justice system facilities, law en-
forcement agency facilities, Healthy Marriage Promotion 
or Responsible Fatherhood service settings, child support 
service settings, and service settings focused on individuals 
eligible for assistance under the temporary assistance for 
needy families program funded under part A of title IV 
of the Social Security Act.’’. 
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SEC. 102. EXPANSION OF PERFORMANCE PARTNERSHIP 
PILOT FOR CHILDREN WHO HAVE EXPERI-
ENCED OR ARE AT RISK OF EXPERIENCING 
TRAUMA. 
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 
in the juvenile justice system, unemployed, or not 
enrolled in or at risk of dropping out of an edu-
cational institution and live in a community that has 
faced acute or long-term exposure to substantial dis-
crimination, historical oppression, intergenerational 
poverty, civil unrest, a high rate of violence or drug 
overdose deaths, achieve success in meeting edu-
cational, employment, health, developmental, com-
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munity 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 2020 THROUGH 2024’’; 
(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: 
‘‘(2) TRAUMA-INFORMED CARE PILOTS.— 
‘‘(A) IN GENERAL.—Federal agencies may 
use Federal discretionary funds that are made 
available in this Act or any appropriations Act 
for any of fiscal years 2020 through 2024 to 
carry out up to 10 Performance Partnership Pi-
lots. Such Pilots shall— 
‘‘(i) be designed to improve outcomes 
for infants, children, and youth, and their 
families as appropriate, who have experi-
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enced or are at risk of experiencing trau-
ma; and 
‘‘(ii) involve Federal programs tar-
geted on infants, children, and youth, and 
their families as appropriate, who have ex-
perienced or are at risk of experiencing 
trauma. 
‘‘(B) PRIORITY.—In making funds avail-
able under this paragraph, a Federal agency 
shall give priority to entities that receive grants 
under section 520B of the Public Health Serv-
ice Act.’’; 
(3) in subsection (c)(2)— 
(A) in subparagraph (A), by striking 
‘‘2018’’ and inserting ‘‘2023’’; 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 ‘‘2023’’. 
SEC. 103. NATIONAL AND COMMUNITY SERVICE. 
(a) SERVICE-LEARNING.—Section 113(a)(2) of the 
National and Community Service Act of 1990 (42 U.S.C. 
12525(a)(2)) is amended— 
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(1) in subparagraph (C), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (D), by striking the period 
and inserting ‘‘, and’’; and 
(3) by adding at the end the following: 
‘‘(E) information describing how the appli-
cant will give priority, in reviewing applications 
under subsection (b), to entities that propose 
service-learning programs in communities with 
high levels of trauma (as defined in section 
520B of the Public Health Service Act).’’. 
(b) AMERICORPS RECRUITMENT.—Section 130(b)(5) 
of the National and Community Service Act of 1990 (42 
U.S.C. 12582(b)(5)) is amended by inserting after ‘‘and 
women,’’ the following: ‘‘and to give priority (to the max-
imum extent practicable) to recruitment of participants 
from communities with high levels of trauma (as defined 
in section 520B of the Public Health Service Act),’’. 
(c) AMERICORPS STATE PROGRAMS.—Section 130(c) 
of the National and Community Service Act of 1990 (42 
U.S.C. 12582(c)) is amended by adding at the end the 
following: 
‘‘(4) In the case of a State or territory de-
scribed in section 129(e), an assurance that the 
State or territory, in distributing grant funds made 
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available under that section, will give priority to en-
tities proposing national service programs that are 
related to the provision of trauma-informed services 
in communities with high levels of trauma (as de-
fined in section 520B of the Public Health Service 
Act).’’. 
(d) AMERICORPS COMPETITIVE PROGRAMS.—Section 
133(d)(2) of the National and Community Service Act of 
1990 (42 U.S.C. 12585(d)(2)) is amended— 
(1) in subparagraph (B), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (C), by striking the period 
and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(D) national service programs that are re-
lated to the provision of trauma-informed serv-
ices in communities with high levels of trauma 
(as defined in section 520B of the Public 
Health Service Act).’’. 
SEC. 104. HOSPITAL-BASED INTERVENTIONS TO REDUCE 
READMISSIONS. 
Section 911 of the Public Health Service Act (42 
U.S.C. 299b) is amended by adding at the end the fol-
lowing: 
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‘‘(c) HOSPITAL-BASED INTERVENTIONS TO REDUCE 
READMISSIONS.— 
‘‘(1) GRANTS.—The Secretary, acting through 
the Director of the Agency, shall award grants to el-
igible entities to evaluate hospital-based interven-
tions to reduce subsequent readmissions of patients 
that present at a hospital after overdosing, attempt-
ing 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, cul-
turally sensitive, trauma interventions to im-
prove outcomes for patients presenting after 
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overdosing, attempting suicide, or suffering vio-
lent injury or abuse. 
‘‘(3) USE
OF
FUNDS.—An entity shall use 
amounts received under a grant under this sub-
section to test and evaluate hospital-based trauma- 
informed interventions for patients who present at 
hospitals with drug overdoses, suicide attempts, and 
violent injuries (such as domestic violence or inten-
tional penetrating wounds, including gunshots and 
stabbings) to provide comprehensive education, 
screening, counseling, discharge planning, skills 
building, and long-term case management services to 
prevent hospital readmission, injury, and improve 
health 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 developed 
under section 7132(d) of the SUPPORT for Pa-
tients 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-
oped under the grant, including any quality meas-
ures developed to prevent hospital readmissions for 
the patients served under the program involved.’’. 
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SEC. 105. SUPPORTING AT-RISK AND TRAUMA-EXPOSED 
STUDENTS WITH ARTS OPPORTUNITIES. 
Section 5(c) of the National Foundation on the Arts 
and Humanities Act of 1965 (20 U.S.C. 954(c)) is amend-
ed— 
(1) in paragraph (9), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (10), by striking the period 
and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (10), the fol-
lowing: 
‘‘(11) projects, programs, and workshops that 
provide therapy and creative expression opportuni-
ties through the arts for children, and their families 
as appropriate, who have experienced or are at risk 
of experiencing trauma.’’. 
SEC. 106. ENSURING PARITY FOR INFANT, EARLY CHILD-
HOOD, AND YOUTH MENTAL HEALTH. 
Part K of title V of the Public Health Service Act 
(42 U.S.C. 290ll et seq.) is amended— 
(1) by redesignating section 550 (42 U.S.C. 
290ee–10), relating to sobriety treatment and recov-
ery teams, as section 598; and 
(2) by adding at the end the following: 
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‘‘SEC. 599. INFANT AND EARLY CHILDHOOD MENTAL 
HEALTH PARITY. 
‘‘(a) IN GENERAL.—The Secretary, in coordination 
with the Secretary of Labor and the Secretary of Edu-
cation, shall award grants to, or enter into cooperative 
agreements with, States to ensure that health insurance 
issuers in the State comply with section 2726, as such sec-
tion applies to infant and early childhood mental and be-
havioral health. 
‘‘(b) USE OF GRANT.—A State shall use amounts re-
ceived under a grant or cooperative agreement under this 
section to— 
‘‘(1) establish clear guidelines for parity compli-
ance for infant and early childhood mental health 
that are evidence-based; 
‘‘(2) align parity compliance with best practices 
for meeting an infant’s Individualized Family Serv-
ice Plan under part C of the Individuals with Dis-
abilities Education Act or a preschool aged child’s 
Individualized Education Plan under part B of such 
Act, as well as providing Coordinated Early Inter-
vening Services under part B of such Act to pre-
school aged children; 
‘‘(3) engage with health insurance issuers to en-
sure that they comply with the guidelines promul-
gated and other provisions of section 2726, as such 
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section applies to infant and early childhood mental 
health; 
‘‘(4) ensure health insurance issuer compliance 
through audits, market conduct examinations, secret 
shopper programs, or other means; 
‘‘(5) share learnings with other States who re-
ceive grants under this section; and 
‘‘(6) submit a report to the Secretary, the Sec-
retary of Labor, and the Secretary of Education, on 
findings, actions, recommendations, and any such 
other information as such Secretaries shall require. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
$10,000,000 for each of fiscal years 2020 through 2024.’’. 
SEC. 107. STREAMLINING AND COORDINATING TRAUMA 
GRANT FUNDING. 
Not later than 2 years after the date of enactment 
of this Act, the Director of the Office of Management and 
Budget, in coordination with the Task Force created 
under section 7132 of the SUPPORT for Patients and 
Communities Act (Public Law 115–271), shall review the 
Federal grant programs and funding streams with rel-
evance or potential to furnish the best practices developed 
under section 7132(d) of such Act for preventing and miti-
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gating the impact of trauma, and issue guidance to agen-
cies on the following: 
(1) Aligning measurement, reporting, and 
timelines for Federal funds used to address commu-
nity trauma. 
(2) 
Leveraging 
different 
Federal 
funding 
streams to enable effective data sharing, integration, 
and privacy to support coordination for addressing 
community trauma. 
(3) Consistency in eligibility requirements and 
enrollment pathways for Federal funding to facili-
tate strategies for addressing community trauma. 
(4) Support for community-level planning ac-
tivities that advance the overall policy goals of each 
Federal funding stream. 
(5) Modeling the long-term budgetary benefits 
of preventing or mitigating community trauma. 
(6) Including trauma impact statements within 
relevant grants focused on serving children and fam-
ilies. 
SEC. 108. MEASURING SAVINGS FROM TRAUMA-INFORMED 
INTERVENTIONS. 
(a) IDENTIFICATION
OF
EFFECTIVE
INTERVEN-
TIONS.—The Secretary of Health and Human Services, 
acting through the Assistant Secretary for Planning and 
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Evaluation, and in coordination with the Attorney Gen-
eral, the Secretary of Education, and the Secretary of 
Labor, shall conduct a review and analysis of the best 
practices developed under section 7132(d) of the SUP-
PORT for Patients and Communities Act (Public Law 
115–271) (referred to in this section as the ‘‘developed 
best practices’’) that can be furnished through a Federal 
grant or health insurance program to prevent and mitigate 
the impact of trauma among infants, children, and youth, 
and their families, as appropriate, and identify those prac-
tices which hold the most promise to reduce long-term 
costs and spending associated with children, including 
health care and child welfare costs. 
(b) CONDUCT OF REVIEW.—In conducting the review 
and analysis under subsection (a), the Assistant Secretary 
may— 
(1) solicit public input on the review design, 
findings, and conclusions; and 
(2) examine methods for evaluating whether the 
developed best practices were effectively implemented 
and the predicted outcomes and savings are likely to 
be achieved, which may include competency and test-
ing approaches, and performance or outcome meas-
ures. 
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(c) UPDATES.—The set of best practices identified 
under subsection (a) as holding promise to reduce costs 
shall be updated at regular intervals. 
(d) EVALUATING LONG-TERM SAVINGS ASSOCIATED 
WITH THE INTERVENTIONS.—The Director of the Office 
of Management and Budget shall analyze, determine, and 
publicly report the cost-savings across the Federal budget 
over 20 years, including an appropriate discount rate, as-
sociated with the effective implementation of the interven-
tions identified in subsection (a), when applied in a rep-
resentative population of children participating in all such 
appropriate Federal grant or health insurance programs 
in a given year, and update these determinations at least 
every 5 years. 
TITLE II—WORKFORCE 
DEVELOPMENT 
SEC. 201. DIVERSITY TRAINING FOR INDIVIDUALS FROM 
COMMUNITIES 
THAT 
HAVE 
EXPERIENCED 
HIGH LEVELS OF TRAUMA, VIOLENCE, OR AD-
DICTION. 
Part B of title VII of the Public Health Service Act 
(42 U.S.C. 293 et seq.) is amended by adding at the end 
the following: 
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‘‘SEC. 742. INDIVIDUALS FROM COMMUNITIES THAT HAVE 
EXPERIENCED HIGH LEVELS OF TRAUMA, VI-
OLENCE, OR ADDICTION. 
‘‘In carrying out activities under this part, the Sec-
retary shall ensure that emphasis is provided on the re-
cruitment of individuals from communities that have expe-
rienced high levels of trauma, violence, or addiction and 
that appropriate and culturally sensitive activities under 
this part are carried out in partnership with community- 
based organizations that have expertise in addressing such 
challenges to enhance service delivery.’’. 
SEC. 202. FUNDING FOR THE NATIONAL HEALTH SERVICE 
CORPS. 
Section 10503(b)(2) of the Patient Protection and 
Affordable Care Act (42 U.S.C. 254b–2(b)(2)) is amend-
ed— 
(1) in subparagraph (E), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (F), by striking the period 
and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(G) $360,000,000 for each of fiscal years 
2020 through 2024.’’. 
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SEC. 203. INFANT AND EARLY CHILDHOOD CLINICAL WORK-
FORCE. 
Part P of title III of the Public Health Service Act 
(42 U.S.C. 280g) is amended by adding at the end the 
following: 
‘‘SEC. 399V–7. INFANT AND EARLY CHILDHOOD CLINICAL 
WORKFORCE. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Associate Administrator of the Maternal and Child 
Health Bureau, shall establish an Infant and Early Child-
hood Clinical Mental Health Leadership Program to 
award grants to eligible entities to establish training insti-
tutes and centers of excellence for infant and early child-
hood clinical mental health. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under this section, an entity shall— 
‘‘(1) be— 
‘‘(A) an institution of higher education as 
defined in section 101(a) of the Higher Edu-
cation Act of 1965; or 
‘‘(B) be a hospital with affiliation with 
such an institution of higher education, or a 
State professional medical society or association 
of infant mental health demonstrating an affili-
ation or partnership with such an institution of 
higher education; and 
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