‘‘(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, evaluated, and validated to prevent 
hospital readmissions for the patients served under 
the program involved. 
‘‘(5) SUSTAINABLE COVERAGE.—The Secretary, 
acting through the Administrator of the Centers for 
Medicare & Medicaid Services, shall evaluate existing 
authorities, flexibilities, and policies and disseminate 
appropriate and relevant information to eligible enti-
ties on the opportunities for health insurance cov-
erage and reimbursement for the activities described 
in paragraph (3).’’. 
SEC. 104. REAUTHORIZING THE NATIONAL CHILD TRAU-
MATIC STRESS NETWORK. 
Section 582 of the Public Health Service Act (42 
U.S.C. 290hh–1) is amended— 
(1) in subsection (a)— 
(A) in paragraph (1), by striking ‘‘and’’ at 
the end; 
(B) in paragraph (2), by striking the pe-
riod and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
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‘‘(3) collaboration among all NCTSI grantees 
for purposes of developing evidence-based resources, 
training, interventions, practices, and other informa-
tion, as an integral part of required grant activi-
ties.’’; 
(2) in subsection (d), by adding at the end the 
following: ‘‘In carrying out this subsection, the Sec-
retary shall permit all grantees to deliver both train-
ing and services, as appropriate.’’; and 
(3) in subsection (j), by striking ‘‘$63,887,000 
for each of fiscal years 2019 through 2023’’ and in-
serting ‘‘$93,887,000 for each of fiscal years 2024 
through 2028’’. 
SEC. 105. REAUTHORIZING THE TRAUMA SUPPORT SERV-
ICES IN SCHOOLS GRANT PROGRAM. 
Section 7134(l) of the SUPPORT for Patients and 
Communities Act (Public Law 115–271) is amended by 
striking ‘‘fiscal years 2019 through 2023’’ and inserting 
‘‘fiscal years 2024 through 2028’’. 
SEC. 106. REAUTHORIZING CDC SURVEILLANCE AND DATA 
COLLECTION ACTIVITIES. 
Section 7131(e) of the SUPPORT for Patients and 
Communities Act (Public Law 115–271) is amended by 
striking ‘‘$2,000,000 for each of fiscal years 2019 through 
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2023’’ and inserting ‘‘$9,000,000 for each of fiscal years 
2024 through 2028’’. 
TITLE II—WORKFORCE 
DEVELOPMENT 
SEC. 201. REAUTHORIZING THE INTERAGENCY TASK FORCE 
ON TRAUMA-INFORMED CARE. 
Section 7132(i) of the SUPPORT for Patients and 
Communities Act (Public Law 115–271) is amended by 
striking ‘‘2023’’ and inserting ‘‘2028’’. 
SEC. 202. TRAINING AND RECRUITMENT OF INDIVIDUALS 
FROM COMMUNITIES THAT HAVE EXPERI-
ENCED HIGH LEVELS OF TRAUMA, VIOLENCE, 
OR ADDICTION. 
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: 
‘‘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 activities under this part are carried out 
in partnership with community-based organizations that 
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have expertise in addressing such challenges to enhance 
service delivery.’’. 
SEC. 203. 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 (G), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (H), by striking the period 
and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(I) in addition to the amounts provided 
for under subparagraph (H) for fiscal year 
2023, $50,000,000 for each of fiscal years 2024 
through 2028, to be allocated in each such fis-
cal year for awards to eligible individuals whose 
obligated service locations are in schools or 
community-based settings as described in sec-
tion 338N of the Public Health Service Act.’’. 
SEC. 204. 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: 
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‘‘SEC. 399V–8. 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 Mental Health Clinical Leadership Program to 
award grants to eligible entities to establish a national net-
work of training institutes for infant and early childhood 
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), including— 
‘‘(i) a part B institution (as defined in 
section 322 of such Act); 
‘‘(ii) a Tribal College or University 
(as defined in section 316(b) of such Act); 
‘‘(iii) a Hispanic-serving institution 
(as defined in section 502(a) of such Act); 
‘‘(iv) a Predominantly Black Institu-
tion (as defined in section 318(b) of such 
Act); 
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‘‘(v) a Native American-serving, non-
tribal institution (as defined in section 
319(b) of such Act); 
‘‘(vi) an Alaskan Native-serving insti-
tution and a Native Hawaiian-serving in-
stitution (as such terms are defined in sec-
tion 317(b) of such Act); and 
‘‘(vii) an Asian American and Native 
American Pacific Islander-serving institu-
tion (as defined in section 320(b) of such 
Act); or 
‘‘(B) a hospital with affiliation with such 
an institution of higher education, or a State 
professional medical society or association of in-
fant mental health demonstrating an affiliation 
or partnership with such an institution of high-
er education; and 
‘‘(2) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require. 
‘‘(c) USE OF GRANT.—An entity shall use amounts 
received under a grant under this section to establish 
training institutes to— 
‘‘(1) equip aspiring and current mental health 
professionals, including clinical social workers, pro-
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fessional counselors, marriage and family therapists, 
clinical psychologists, child psychiatrists, school psy-
chologists, school counselors, school social workers, 
nurses, home visitors, community health workers, 
and developmental and behavioral pediatricians with 
specialization in infant and early childhood clinical 
mental health, and those pursuing certification or li-
censure in such professions; and 
‘‘(2) emphasize equipping trainees with cul-
turally responsive skills in prevention, mental health 
consultation, screening, assessment, diagnosis, and 
treatment for infants and children, and their parents 
as appropriate, who have experienced or are at risk 
of experiencing trauma, including from intergenera-
tional poverty, civil unrest, discrimination, or oppres-
sion, exposure to violence or overdose, as well as pre-
vention of secondary trauma, through— 
‘‘(A) the provision of community-based 
training and supervision in evidence-based as-
sessment, diagnosis, and treatment, which may 
be conducted through partnership with qualified 
community-based organizations; 
‘‘(B) the development of graduate edu-
cation training tracks; 
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‘‘(C) the provision of scholarships, sti-
pends, and trainee supports, including to en-
hance recruitment, retention, and career place-
ment of students from populations under-rep-
resented in the mental health workforce; and 
‘‘(D) the provision of mid-career training 
to develop the capacity of existing health practi-
tioners. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
$25,000,000 for each of fiscal years 2024 through 2028.’’. 
SEC. 205. TRAUMA-INFORMED TEACHING AND SCHOOL 
LEADERSHIP. 
(a) PARTNERSHIP GRANTS.—Section 202 of the 
Higher Education Act of 1965 (20 U.S.C. 1022a) is 
amended— 
(1) in subsection (b)(6)— 
(A) by redesignating subparagraphs (H) 
through (K) as subparagraphs (I) through (L), 
respectively; and 
(B) by inserting after subparagraph (G) 
the following: 
‘‘(H) how the partnership will prepare gen-
eral education and special education teachers 
and, as applicable, early childhood educators, to 
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support positive learning outcomes and social 
and emotional development for students— 
‘‘(i) who have experienced trauma (in-
cluding students who are involved in the 
foster care or juvenile justice system or 
runaway and homeless youth); and 
‘‘(ii) in alternative education settings 
in which high populations of youth with 
trauma exposure may learn (including set-
tings for correctional education, juvenile 
justice, pregnant, expecting, and parenting 
students, or youth who have re-entered 
school after a period of absence due to 
dropping out);’’; 
(2) in subsection (d)(1)(A)(i)— 
(A) in subclause (II), by striking ‘‘and’’ 
after the semicolon; 
(B) by redesignating subclause (III) as 
subclause (IV); and 
(C) by inserting after subclause (II) the 
following: 
‘‘(III) such teachers and, as ap-
plicable, early childhood educators, to 
adopt 
evidence-based 
approaches 
for— 
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‘‘(aa) 
improving 
behavior 
(such as positive behavior inter-
ventions and supports and restor-
ative justice practices); 
‘‘(bb) supporting social and 
emotional learning; 
‘‘(cc) mitigating the effects 
of trauma; 
‘‘(dd) improving the learning 
environment in the school; 
‘‘(ee) preventing secondary 
trauma, compassion fatigue, and 
burnout; and 
‘‘(ff) alternatives to punitive 
discipline 
practices, 
including 
suspensions, expulsions, corporal 
punishment, referrals to law en-
forcement, and other actions that 
remove students from the learn-
ing environment; and’’; and 
(3) by adding at the end of subsection (d) the 
following new paragraph: 
‘‘(7) TRAUMA-INFORMED AND RESILIENCE-FO-
CUSED PRACTICE AND WORK IN ALTERNATIVE EDU-
CATION SETTINGS.—Developing the teaching skills 
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of prospective and, as applicable, new, early child-
hood educators and elementary school and secondary 
school teachers to adopt evidence-based trauma-in-
formed and resilience-focused teaching strategies— 
‘‘(A) to— 
‘‘(i) recognize the signs of trauma and 
its impact on learning; 
‘‘(ii) maximize student engagement 
and promote the social and emotional de-
velopment of students; 
‘‘(iii) implement alternative practices 
to suspension and expulsion that do not re-
move students from the learning environ-
ment; and 
‘‘(iv) engage with other school per-
sonnel, including administrators and non- 
teaching staff, to foster a shared under-
standing of the items described in clauses 
(i), (ii), and (iii); and 
‘‘(B) including programs training teachers 
and, as applicable, early childhood educators to 
work with students— 
‘‘(i) with exposure to traumatic events 
(including students involved in the foster 
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care or juvenile justice system or runaway 
and homeless youth); and 
‘‘(ii) in alternative academic settings 
for youth unable to participate in a tradi-
tional public school program in which high 
populations of students with trauma expo-
sure may learn (such as students involved 
in the foster care or juvenile justice sys-
tem, pregnant, expecting, and parenting 
students, runaway and homeless students, 
students exposed to family violence or traf-
ficking, and other youth who have re-en-
tered school after a period of absence due 
to dropping out).’’. 
(b) GRANTS FOR THE DEVELOPMENT OF LEADER-
SHIP PROGRAMS.—Section 202(f)(1)(B) of the Higher 
Education Act of 1965 (20 U.S.C. 1022a(f)(1)(B)) is 
amended— 
(1) in clause (v), by striking ‘‘and’’ after the 
semicolon; 
(2) in clause (vi), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(vii) identify students who have expe-
rienced trauma and connect those students 
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with appropriate school-based or commu-
nity-based interventions and services.’’. 
(c) 
ADMINISTRATIVE
PROVISIONS.—Section 
203(b)(2) of the Higher Education Act of 1965 (20 
U.S.C. 1022b(b)(2)) is amended— 
(1) in subparagraph (A), by striking ‘‘and’’ 
after the semicolon; 
(2) in subparagraph (B)(ii), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(C) to eligible partnerships that have a 
high-quality proposal for trauma-informed and 
resilience-focused training programs for general 
education and special education teachers and, 
as applicable, early childhood educators.’’. 
SEC. 206. TOOLS FOR FRONT-LINE PROVIDERS. 
Not later than 18 months after the date of enactment 
of this Act, the Secretary of Health and Human Services, 
in coordination with appropriate stakeholders with subject 
matter expertise which may include the National Child 
Traumatic Stress Network or other resource centers fund-
ed by the Department of Health and Human Services, 
shall carry out activities to develop accessible and easily 
understandable toolkits for use by front-line service pro-
viders (including teachers, early childhood educators, 
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school and out-of-school program leaders, paraeducators 
and school support staff, home visitors, mentors, social 
workers, counselors, health care providers, child welfare 
agency staff, individuals in juvenile justice settings, faith 
leaders, first responders, kinship caregivers, domestic vio-
lence agencies, child advocacy centers, homeless services 
personnel, and youth development and community-based 
organization personnel) for appropriately identifying, re-
sponding to, and supporting infants, children, and youth, 
and their families, as appropriate, who have experienced 
or are at risk of experiencing trauma or toxic stress. Such 
toolkits shall incorporate best practices developed under 
section 7132(d) of the SUPPORT for Patients and Com-
munities Act (Public Law 115–271), and include actions 
to build a safe, stable, and nurturing environment for the 
infants, children, and youth served in those settings, ca-
pacity building, and strategies for addressing the impact 
of secondary trauma, compassion fatigue, and burnout 
among such front-line service providers and other care-
givers. 
SEC. 207. CHILDREN EXPOSED TO VIOLENCE INITIATIVE. 
Title I of the Omnibus Crime Control and Safe 
Streets Act of 1968 (34 U.S.C. 10101) is amended by 
adding at the end the following: 
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‘‘PART PP—CHILDREN EXPOSED TO VIOLENCE 
AND ADDICTION INITIATIVE 
‘‘SEC. 3061. GRANTS TO SUPPORT CHILDREN EXPOSED TO 
VIOLENCE AND SUBSTANCE USE. 
‘‘(a) IN GENERAL.—The Attorney General may make 
grants to States, units of local government, Indian tribes 
and tribal organizations (as such terms are defined in sec-
tion 4 of the Indian Self-Determination Act and Edu-
cation Assistance Act), and nonprofit organizations to re-
duce violence and substance use by preventing children’s 
trauma from exposure to violence or substance use and 
supporting infants, children, and youth, and their families, 
who have been harmed by violence, trauma, or substance 
use to heal. 
‘‘(b) USE OF FUNDS.— 
‘‘(1) IN GENERAL.—A grant under subsection 
(a) may be used to implement trauma-informed poli-
cies and practices that support infants, children, 
youth, and their families, as appropriate, by— 
‘‘(A) building public awareness and edu-
cation about the importance of addressing 
childhood trauma as a means to reduce violence 
and substance use and improve educational, 
economic, developmental, and societal outcomes 
for infants, children, and youth; 
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‘‘(B) providing training, tools, and re-
sources to develop the skills and capacity of 
parents (including foster parents), adult guard-
ians, and professionals who interact directly 
with infants, children, and youth, in an orga-
nized or professional setting, to reduce the im-
pact of trauma, grief, and exposure to violence 
on children, including through the best prac-
tices developed under section 7132(d) of the 
SUPPORT for Patients and Communities Act 
(Public Law 115–271); and 
‘‘(C) supporting community collaborations 
and providing technical assistance to commu-
nities, organizations, and public agencies on 
how they can coordinate to prevent and miti-
gate the impact of trauma from exposure to vio-
lence and substance use on children in their 
homes, schools, and communities. 
‘‘(2) PRIORITY.—Priority in awarding grants 
under this section shall be given to communities that 
seek to address multiple types of violence and serve 
children who have experienced poly-victimization. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$11,000,000 for each of fiscal years 2024 through 2028.’’. 
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SEC. 208. ESTABLISHMENT OF LAW ENFORCEMENT CHILD 
AND YOUTH TRAUMA COORDINATING CEN-
TER. 
(a) ESTABLISHMENT OF CENTER.— 
(1) IN GENERAL.—The Attorney General, in co-
ordination with the Civil Rights Division, shall es-
tablish a National Law Enforcement Child and 
Youth Trauma Coordinating Center (referred to in 
this section as the ‘‘Center’’) to provide assistance to 
adult- and juvenile-serving State, local, and tribal 
law enforcement agencies (including those operated 
by Indian tribes and tribal organizations as such 
terms are defined in section 4 of the Indian Self-De-
termination Act and Education Assistance Act) in 
interacting with infants, children, and youth who 
have been exposed to violence or other trauma, and 
their families as appropriate. 
(2) AGE RANGE.—The Center shall determine 
the age range of infants, children, and youth to be 
covered by the activities of the Center. 
(b) DUTIES.—The Center shall provide assistance to 
adult- and juvenile-serving State, local, and tribal law en-
forcement agencies by— 
(1) disseminating information on the best prac-
tices for law enforcement officers, which may include 
best practices based on evidence-based and evidence- 
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informed models from programs of the Department 
of Justice and the Office of Justice Services of the 
Bureau of Indian Affairs or the best practices devel-
oped under section 7132(d) of the SUPPORT for 
Patients and Communities Act (Public Law 115– 
271), such as— 
(A) models developed in partnership with 
national law enforcement organizations, Indian 
tribes, or clinical researchers; and 
(B) models that include— 
(i) trauma-informed approaches to 
conflict resolution, information gathering, 
forensic interviewing, de-escalation, and 
crisis intervention training; 
(ii) early interventions that link child 
and youth witnesses and victims, and their 
families as appropriate, to age-appropriate 
trauma-informed services; and 
(iii) preventing and supporting offi-
cers who experience secondary trauma; 
(2) providing professional training and technical 
assistance; and 
(3) awarding grants under subsection (c). 
(c) GRANT PROGRAM.— 
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(1) IN GENERAL.—The Attorney General, act-
ing through the Center, may award grants to State, 
local, and tribal law enforcement agencies or to 
multi-disciplinary consortia to— 
(A) enhance the awareness of best prac-
tices for trauma-informed responses to infants, 
children, and youth who have been exposed to 
violence or other trauma, and their families as 
appropriate; and 
(B) provide professional training and tech-
nical assistance in implementing the best prac-
tices described in subparagraph (A). 
(2) APPLICATION.—Any State, local, or tribal 
law enforcement agency seeking a grant under this 
subsection shall submit an application to the Attor-
ney General at such time, in such manner, and con-
taining such information as the Attorney General 
may require. 
(3) USE OF FUNDS.—A grant awarded under 
this subsection may be used to— 
(A) provide training to law enforcement of-
ficers on best practices, including how to iden-
tify and appropriately respond to early signs of 
trauma and violence exposure when interacting 
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with infants, children, and youth, and their 
families, as appropriate; and 
(B) establish, operate, and evaluate a re-
ferral and partnership program with trauma-in-
formed clinical mental health, substance use, 
health care, or social service professionals in the 
community in which the law enforcement agen-
cy serves. 
(d) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to the Attorney Gen-
eral— 
(1) $6,000,000 for each of fiscal years 2024 
through 2028 to award grants under subsection (c); 
and 
(2) $2,000,000 for each of fiscal years 2024 
through 2028 for other activities of the Center. 
Æ 
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