entities that are parties to the interagency 
agreement, including procedures for dispute 
resolution. 
‘‘(f) EVALUATION.—The Secretary shall evaluate 
each program carried out under this section and shall dis-
seminate the findings with respect to each such evaluation 
to appropriate public, tribal, and private entities. 
‘‘(g) DISTRIBUTION
OF AWARDS.—The Secretary 
may ensure that grants, contracts, and cooperative agree-
ments awarded or entered into under this section are equi-
tably distributed among the geographical regions of the 
United States and among tribal, urban, suburban, and 
rural populations. 
‘‘(h) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed— 
‘‘(1) to prohibit an entity involved with a pro-
gram carried out under this section from reporting 
a crime that is committed by a student to appro-
priate authorities; or 
‘‘(2) to prevent State and tribal law enforce-
ment and judicial authorities from exercising their 
responsibilities with regard to the application of 
Federal, tribal, and State law to crimes committed 
by a student. 
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‘‘(i) SUPPLEMENT, NOT SUPPLANT.—Any services 
provided through programs carried out under this section 
shall supplement, and not supplant, existing mental health 
services, including any services required to be provided 
under the Individuals with Disabilities Education Act. 
‘‘(j) CONSULTATION WITH INDIAN TRIBES.—In car-
rying out subsection (a), the Secretary shall, in a timely 
manner, meaningfully consult, engage, and cooperate with 
Indian tribes and their representatives to ensure notice of 
eligibility. 
‘‘(k) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$6,000,000 for the period of fiscal years 2018 through 
2023.’’. 
TITLE 
III—UNDERSTANDING 
THE SCOPE OF TRAUMA EX-
POSURE 
SEC. 301. CDC SURVEILLANCE AND DATA COLLECTION FOR 
CHILD, YOUTH, AND ADULT TRAUMA. 
(a) DATA COLLECTION.—The Director of the Centers 
for Disease Control and Prevention (referred to in this 
section as the ‘‘Director’’) shall authorize and encourage 
States to collect and report data on adverse childhood ex-
periences through the Behavioral Risk Factor Surveillance 
System and the Youth Risk Behavior Surveillance System. 
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In collecting and reporting such data, States shall use the 
appropriate modules developed under section 302(2)(B), 
in addition to other appropriate modules. 
(b) TIMING.—The collection of data authorized under 
subsection (a) may occur in fiscal year 2019 and every 
2 years thereafter. 
(c) DATA FROM TRIBAL AND RURAL AREAS.—The 
Director shall require that each State, in collecting data 
in accordance with subsection (a), ensure that, as appro-
priate, data from tribal and rural areas within such State 
is included by oversampling from such areas. 
(d) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$64,000,000 for the period of fiscal years 2019 through 
2021. 
SEC. 302. CDC ANALYSIS OF CHILD, YOUTH, AND ADULT 
TRAUMA. 
The Secretary of Health and Human Services, acting 
through the Director of the Centers for Disease Control 
and Prevention, shall— 
(1) conduct an analysis of— 
(A) the prevalence of child, youth, and 
adult trauma experienced in the United States, 
including assessments of the types of the most 
prominent adverse childhood experiences, and 
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disparities by race and ethnicity, by geographic 
distribution, and by socioeconomic status; 
(B) the public health impact of adverse 
childhood experiences, including the correlation 
of such experiences with trends in life expect-
ancy and whether the scope of such experiences 
constitutes a public health epidemic; 
(C) modules that measure and assess ad-
verse childhood experiences, for development 
and ultimate inclusion in the Youth Risk Be-
havior Surveillance System; and 
(D) outcomes modules that measure and 
evaluate the utilization and efficacy of trauma- 
informed interventions, such as mental health 
services or other clinical or sub-clinical care, for 
ultimate inclusion in the Youth Risk Behavior 
Surveillance System and the Behavioral Risk 
Factor Surveillance System; and 
(2) not later than 1 year after the date of en-
actment of this Act, submit to Congress a report on 
the analysis under paragraph (1) that includes rec-
ommendations on— 
(A) what communities can do to mitigate 
the impact of adverse childhood experiences and 
how Indian tribes, social service providers, law 
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enforcement, health care practitioners, public 
health agencies, educational institutions, and 
other community stakeholders may collaborate 
to improve efforts to identify, connect to appro-
priate services, and provide treatment and sup-
port for children and youth, and their families 
as appropriate, who have experienced or are at 
risk of experiencing trauma; 
(B) modules for inclusion in the appro-
priate surveillance systems, as described in sub-
paragraphs (C) and (D) of paragraph (1); and 
(C) how the Centers for Disease Control 
and Prevention can utilize data collected 
through surveillance systems to target specific 
populations or geographic locations with a high 
incidence of measured Adverse Childhood Expe-
riences, including by considering such data 
when awarding grants and contracts to entities 
serving such populations or locations. 
SEC. 303. GOVERNMENT ACCOUNTABILITY STUDY ON BAR-
RIERS TO AND OPPORTUNITIES FOR TRAU-
MA-INFORMED IDENTIFICATION AND TREAT-
MENT. 
(a) STUDY.— 
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