Title: Trauma-Informed Care for Children and Families Act of 2017
Policy area: Health

Summary:
Trauma-Informed Care for Children and Families Act of 2017
This bill establishes: (1) the Interagency Task Force on Trauma-Informed Care; (2) the National Law Enforcement Child and Youth Trauma Coordinating Center; (3) the Native American Technical Assistance Resource Center to provide trauma-informed technical assistance; and (4) Medicaid demonstration projects to test innovative, trauma-informed approaches for delivering early and periodic screening, diagnostic, and treatment services to eligible children. The Centers for Disease Control and Prevention must encourage states to collect and report data on adverse childhood experiences.
The bill amends the Public Health Service Act, the Elementary and Secondary Education Act of 1965, title XIX (Medicaid) of the Social Security Act, and other laws to revise or establish provisions related to trauma, including provisions regarding the National Child Traumatic Stress Initiative, Performance Partnership Pilots, health professional shortage areas, and training of school personnel, court personnel, and health care providers. The Department of Education may award grants for the improvement of trauma support services and mental health care for children in educational settings.

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 774 Introduced in Senate (IS)]

<DOC>






115th CONGRESS
  1st Session
                                 S. 774

  To address the psychological, developmental, social, and emotional 
needs of children, youth, and families who have experienced trauma, and 
                          for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             March 29, 2017

  Ms. Heitkamp (for herself, Mr. Durbin, Mr. Franken, and Mr. Booker) 
introduced the following bill; which was read twice and referred to the 
          Committee on Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
  To address the psychological, developmental, social, and emotional 
needs of children, youth, and families who have experienced trauma, and 
                          for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Trauma-Informed Care for Children 
and Families Act of 2017''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) The 2007 Great Smoky Mountains Study, a representative 
        longitudinal study of children, found that by age 16, more than 
        67 percent of the children had been exposed to 1 or more 
        traumatic events, such as child maltreatment, domestic 
        violence, or sexual assault.
            (2) According to a 2009 Office of Juvenile Justice and 
        Delinquency Prevention study of children ages 0 through 17, 
        more than 60 percent of the children surveyed were exposed to 
        violence within the past year, either directly or indirectly.
            (3) According to the Administration for Children and 
        Families, the rate of substantiated reports of child 
        maltreatment in fiscal year 2015 was 9.2 per 1,000 children 
        ages 0 through 17, with children under age 1 having the highest 
        rate of 24.2 per 1,000 children.
            (4) According to the Office of Juvenile Justice and 
        Delinquency Prevention, a longitudinal study of youth detained 
        at a juvenile detention center in Chicago showed that 92.5 
        percent of youth had experienced at least 1 trauma, and 84 
        percent had experienced more than 1 trauma.
            (5) The National Intimate Partner and Sexual Violence 
        Survey conducted by the Centers for Disease Control and 
        Prevention revealed that nearly 1 in 5 women reported having 
        been the victim of a rape at some time during their lives. 
        Seventy-eight percent experienced their first rape before the 
        age of 25.
            (6) A 2017 study found that abuse and maltreatment suffered 
        as a child was associated with post-traumatic stress disorder 
        and opioid-related misuse as an adult, and recommended that 
        trauma history and post-traumatic stress disorder symptom 
        severity be addressed as part of opioid addiction treatment.
            (7) Findings from the Adverse Childhood Experiences Study 
        conducted by the Centers for Disease Control and Prevention 
        have shown that adverse childhood experiences predispose 
        children towards negative trajectories from infancy through 
        adolescence. Followup representative studies have shown the 
        long-range impact of early trauma exposure on adult health 
        conditions, including heart disease, asthma, and mental health.
            (8) According to a subsequent study conducted by the 
        Centers for Disease Control and Prevention, adults who had been 
        exposed to multiple adverse childhood experiences were 
        significantly more likely to be unemployed, to be living in 
        poverty, and not to have graduated high school than adults who 
        had zero adverse childhood experiences.
            (9) According to a 2008 finding by the National Child 
        Traumatic Stress Network, educators who work directly with 
        traumatized children and adolescents are particularly 
        vulnerable to secondary traumatic stress, experiencing burnout, 
        fatigue, irritability, and other symptoms, and can be supported 
        through early recognition of that stress, self-care, and 
        trauma-informed support systems.
            (10) Findings from a 2012 study conducted by the Centers 
        for Disease Control and Prevention included an estimate that 
        the total lifetime burden of child maltreatment cases that 
        occur each year in the United States, including medical, 
        welfare, and criminal justice costs, is $124,000,000,000.
            (11) According to the Centers for Disease Control and 
        Prevention's National Health and Nutrition Examination Survey, 
        only half of children ages 8 through 15 with a mental disorder 
        had received treatment for their disorder within the past year. 
        Children with anxiety disorders such as post-traumatic stress 
        disorder were the least likely to be treated, with only 32.2 
        percent having received treatment for a mental disorder in the 
        past year.
            (12) According to a 2014 report of the Institute of 
        Medicine and National Research Council of the National 
        Academies entitled ``New Directions in Child Abuse and Neglect 
        Research'', research has shown that child abuse and neglect 
        experiences resulted in higher risk for behavioral health 
        problems (such as depression and substance use) throughout 
        life, but that with informed prevention approaches, child abuse 
        and neglect can be both preventable and manageable.
            (13) According to a 2017 finding by the National Child 
        Traumatic Stress Network, of the children served by the Network 
        with problems in the clinical range when entering care, 83 
        percent showed significant improvements in post-traumatic 
        stress disorder, behavioral problems, or traumatic stress 
        symptoms after receiving evidence-based treatments.
            (14) According to a 2008 Washington State report on 
        prevention programs that assessed both cost and effectiveness, 
        evidence-based, two-generational child trauma treatments such 
        as Parent-Child Interaction Therapy return $3.64 per dollar of 
        cost.

                 TITLE I--DEVELOPMENT OF BEST PRACTICES

SEC. 101. TASK FORCE TO DEVELOP BEST PRACTICES FOR TRAUMA-INFORMED 
              IDENTIFICATION, REFERRAL, AND SUPPORT.

    (a) Establishment of Task Force To Identify, Evaluate, Recommend, 
Maintain, and Update Best Practices.--
            (1) Establishment.--There is established a task force, to 
        be known as the Interagency Task Force on Trauma-Informed Care.
            (2) Main duties.--The task force shall--
                    (A) identify, evaluate, recommend, maintain, and 
                update, as described in subsection (c) and in 
                accordance with subsection (d), a set of best practices 
                with respect to children and youth, and their families 
                as appropriate, who have experienced or are at risk of 
                experiencing trauma; and
                    (B) carry out other duties as described in 
                subsection (c).
    (b) Task Force Composition.--
            (1) Composition.--The task force shall be composed of 
        Federal employees, consisting of the Assistant Secretary for 
        Mental Health and Substance Use (referred to in this section as 
        the ``Assistant Secretary'', except where another Assistant 
        Secretary is specifically named) and 1 representative of each 
        of--
                    (A) the National Center for Injury Prevention and 
                Control of the Centers for Disease Control and 
                Prevention;
                    (B) the Center for Mental Health Services of the 
                Substance Abuse and Mental Health Services 
                Administration;
                    (C) the Center for Substance Abuse Prevention of 
                that Administration;
                    (D) the Center for Substance Abuse Treatment of 
                that Administration;
                    (E) the Center for Behavioral Health Statistics and 
                Quality of that Administration;
                    (F) the Maternal and Child Health Bureau of the 
                Health Resources and Services Administration;
                    (G) the Center for Medicaid and CHIP Services;
                    (H) the National Institute of Mental Health;
                    (I) the Eunice Kennedy Shriver National Institute 
                of Child Health and Human Development;
                    (J) the National Institute on Drug Abuse;
                    (K) the National Institute on Alcohol Abuse and 
                Alcoholism;
                    (L) the Administration on Children, Youth and 
                Families of the Administration for Children and 
                Families;
                    (M) the Administration for Native Americans of the 
                Administration for Children and Families;
                    (N) the Office of Child Care of the Administration 
                for Children and Families;
                    (O) the Office of Head Start of the Administration 
                for Children and Families;
                    (P) the Office of Refugee Resettlement of the 
                Administration for Children and Families;
                    (Q) the Indian Health Service of the Department of 
                Health and Human Services;
                    (R) the Office of Minority Health of the Department 
                of Health and Human Services;
                    (S) the Office of the Assistant Secretary for 
                Planning and Evaluation;
                    (T) the Office of Juvenile Justice and Delinquency 
                Prevention of the Department of Justice;
                    (U) the Office of Community Oriented Policing 
                Services of the Department of Justice;
                    (V) the Office on Violence Against Women of the 
                Department of Justice;
                    (W) the National Center for Education Evaluation 
                and Regional Assistance of the Department of Education;
                    (X) the Office of Safe and Healthy Students of the 
                Department of Education;
                    (Y) the Office of Special Education and 
                Rehabilitative Services of the Department of Education;
                    (Z) the Office of Indian Education of the 
                Department of Education;
                    (AA) the Bureau of Indian Affairs of the Department 
                of the Interior;
                    (BB) the Bureau of Indian Education of the 
                Department of the Interior;
                    (CC) the Veterans Health Administration of the 
                Department of Veterans Affairs;
                    (DD) the Office of Special Needs Assistance 
                Programs of the Department of Housing and Urban 
                Development; and
                    (EE) such other Federal agencies as--
                            (i) the Assistant Secretary recommends to 
                        the President; and
                            (ii) the President determines to be 
                        appropriate.
            (2) Appointment.--
                    (A) In general.--Each member of the task force, 
                other than the Assistant Secretary, shall be appointed 
                by the Secretary or other head of the entire Federal 
                agency that contains the office or other unit of 
                government that the member represents.
                    (B) Date of appointments.--The heads of Federal 
                agencies with appointing authority under this paragraph 
                shall appoint the corresponding members of the task 
                force not later than 6 months after the date of 
                enactment of this Act.
            (3) Chairperson.--The task force shall be chaired by the 
        Assistant Secretary.
    (c) Task Force Duties.--The task force shall--
            (1) not later than 1 year after the date of enactment of 
        this Act, and not less often than annually thereafter--
                    (A) identify and evaluate a set of evidence-based, 
                evidence-informed, and promising best practices, which 
                may include practices already supported by offices of 
                the Department of Health and Human Services, including 
                the National Mental Health and Substance Use Policy 
                Laboratory, the Department of Justice, the Department 
                of Education, or another Federal agency, with respect 
                to--
                            (i) the early identification of children 
                        and youth, and their families as appropriate, 
                        who have experienced or are at risk of 
                        experiencing trauma;
                            (ii) the expeditious referral of such 
                        children and youth, and their families as 
                        appropriate, that require specialized services 
                        to the appropriate trauma-informed support 
                        (including treatment) services, in accordance 
                        with applicable privacy laws; and
                            (iii) the implementation of trauma-informed 
                        approaches and interventions in child and 
                        youth-serving schools, organizations, homes, 
                        and other settings to foster safe, stable, and 
                        nurturing environments and relationships that 
                        prevent and mitigate the effects of trauma;
                    (B) recommend such set of best practices, including 
                disseminating the set, to the Department of Health and 
                Human Services, the Department of Justice, the 
                Department of Education, other Federal agencies as 
                appropriate, State, tribal, and local government 
                agencies, including State, local, and tribal 
                educational agencies, and other entities (including 
                recipients of relevant Federal grants, professional 
                associations, health professional organizations, 
                national and State accreditation bodies, and schools) 
                that the Assistant Secretary determines to be 
                appropriate, and to the general public; and
                    (C) maintain and update, as appropriate, the set of 
                best practices recommended under subparagraph (B);
            (2) not later than 2 years after the date of enactment of 
        this Act--
                    (A) prepare an integrated task force strategy 
                report concerning how the task force and member 
                agencies will collaborate, prioritize options for, and 
                implement a coordinated approach to preventing trauma, 
                and identifying and ensuring the appropriate 
                interventions and supports for children, youth, and 
                their families as appropriate, who have experienced or 
                are at risk of experiencing trauma;
                    (B) submit the report to the appropriate committees 
                of Congress; and
                    (C) make the report publicly available; and
            (3) not later than 1 year after the date of enactment of 
        this Act, and as often as practicable but not less often than 
        annually thereafter, coordinate, to the extent feasible, among 
        the offices and other units of government represented on the 
        task force, research, data collection, and evaluation regarding 
        models described in subsection (d)(1)(C), identify gaps in or 
        populations or settings not served by models described in that 
        subsection, solicit feedback on the models, from the 
        stakeholders described in subsection (d)(1)(B), coordinate, 
        among the offices and other units of government represented on 
        the task force, the awarding of grants related to preventing 
        and mitigating trauma, and establish procedures to enable the 
        offices and units of government to share technical expertise 
        related to preventing and mitigating trauma.
    (d) Best Practices.--
            (1) In general.--In identifying, evaluating, recommending, 
        maintaining, and updating the set of best practices under 
        subsection (c), the task force shall--
                    (A) consider findings from evidence-based, 
                evidence-informed, and promising practice-based models, 
                including from institutions of higher education, 
                community practice (including tribal experience), 
                recognized professional associations, and programs of 
                the Department of Health and Human Services, the 
                Department of Justice, the Department of Education, and 
                other Federal agencies (including the National Mental 
                Health and Substance Use Policy Laboratory and offices 
                in such agencies that maintain registries and 
                clearinghouses of relevant models), that reflect the 
                science of healthy child, youth, and family 
                development, and have been developed, implemented, and 
                evaluated to demonstrate effectiveness or positive 
                measurable outcomes;
                    (B) engage with, and solicit and receive feedback 
                from--
                            (i) faculty at institutions of higher 
                        education, community practitioners associated 
                        with the community practice described in 
                        subparagraph (A), and recognized professional 
                        associations that represent the experience and 
                        perspectives of individuals who provide 
                        services in covered settings, to obtain 
                        observations and practical recommendations on 
                        the best practices; and
                            (ii) the public, by--
                                    (I) holding at least one public 
                                meeting to solicit recommendations and 
                                information relating to the best 
                                practices; and
                                    (II) providing notice of the 
                                meeting in the Federal Register;
                    (C) recommend models for settings in which 
                individuals may come into contact with children and 
                youth, and their families as appropriate, who have 
                experienced or are at risk of experiencing trauma, 
                including schools, hospitals, settings where health 
                care providers, including primary care and pediatric 
                providers, provide services, preschool and early 
                childhood education and care settings, home visiting 
                settings, after-school program facilities, child 
                welfare agency facilities, public health agency 
                facilities, mental health treatment facilities, 
                substance abuse treatment facilities, faith-based 
                institutions, domestic violence centers, homeless 
                services system facilities, refugee services system 
                facilities, juvenile justice system facilities, and law 
                enforcement agency facilities;
                    (D) recommend best practices that are evidence-
                based, are evidence-informed, or are promising and 
                practice-based, and that include guidelines for--
                            (i)(I) training of front-line service 
                        providers, including teachers, providers from 
                        child- or youth-serving organizations, health 
                        care providers, individuals who are mandatory 
                        reporters of child abuse or neglect, and first 
                        responders, in understanding and identifying 
                        early signs and risk factors of trauma in 
                        children and youth, and their families as 
                        appropriate, including through screening 
                        processes; and
                            (II) implementing appropriate responses;
                            (ii) procedures or systems that--
                                    (I) are designed to quickly refer 
                                children and youth, and their families 
                                as appropriate, who have experienced or 
                                are at risk of experiencing trauma to, 
                                and ensure the children, youth, and 
                                appropriate family members receive, the 
                                appropriate trauma-informed screening 
                                and support, including treatment; or
                                    (II) use partnerships that--
                                            (aa) include local social 
                                        services organizations or 
                                        clinical mental health or 
                                        health care service providers 
                                        with expertise in furnishing 
                                        support services (including 
                                        trauma-informed treatment) to 
                                        prevent or mitigate the effects 
                                        of trauma;
                                            (bb) may be partnerships 
                                        that co-locate or integrate 
                                        services, such as by providing 
                                        services at school-based health 
                                        centers; and
                                            (cc) are designed to make 
                                        such quick referrals, and 
                                        ensure the receipt of 
                                        screening, support, and 
                                        treatment, described in 
                                        subclause (I);
                            (iii) educating children and youth to--
                                    (I) understand trauma;
                                    (II) identify the signs, effects, 
                                or symptoms of trauma; and
                                    (III) build the resilience and 
                                coping skills to mitigate the effects 
                                of experiencing trauma;
                            (iv) multi-generational interventions to--
                                    (I) support, including through 
                                skills building, parents (with an 
                                appropriate emphasis on fathers), 
                                foster parents, adult caregivers, and 
                                front-line service providers described 
                                in clause (i)(I) in fostering safe, 
                                stable, and nurturing environments and 
                                relationships that prevent and mitigate 
                                the effects of trauma for children and 
                                youth who have experienced or are at 
                                risk of experiencing trauma;
                                    (II) assist parents, foster 
                                parents, and adult caregivers in 
                                learning to access resources related to 
                                such prevention and mitigation; and
                                    (III) provide tools to prevent and 
                                address caregiver or secondary trauma, 
                                as appropriate;
                            (v) community interventions for underserved 
                        areas that have faced trauma through acute or 
                        long-term exposure to substantial 
                        discrimination, historical or cultural 
                        oppression, intergenerational poverty, civil 
                        unrest, a high rate of violence, or a high rate 
                        of drug overdose mortality;
                            (vi) assisting parents and guardians in 
                        understanding eligibility for and obtaining 
                        certain health benefits coverage, including 
                        coverage under a State Medicaid plan under 
                        title XIX of the Social Security Act (42 U.S.C. 
                        1396 et seq.) of screening and treatment for 
                        children and youth, and their families as 
                        appropriate, who have experienced or are at 
                        risk of experiencing trauma;
                            (vii) utilizing trained nonclinical 
                        providers (such as peers through peer support 
                        models, mentors, clergy, and other community 
                        figures), to--
                                    (I) expeditiously link children and 
                                youth, and their families as 
                                appropriate, who have experienced or 
                                are at risk of experiencing trauma, to 
                                the appropriate trauma-informed 
                                screening and support (including 
                                clinical treatment) services; and
                                    (II) provide ongoing care or case 
                                management services;
                            (viii) collecting and utilizing data from 
                        screenings, referrals, or the provision of 
                        services and supports, conducted in the covered 
                        settings, to evaluate and improve processes for 
                        trauma-informed support and outcomes;
                            (ix)(I) improving disciplinary practices in 
                        early childhood education and care settings and 
                        schools, including use of positive disciplinary 
                        strategies that are effective at reducing the 
                        incidence of punitive school disciplinary 
                        actions, including school suspensions and 
                        expulsions; and
                            (II) providing the training described in 
                        clause (i) to child care providers and to 
                        school personnel, including school resource 
                        officers, teacher assistants, administrators, 
                        and heads of charter schools; and
                            (x) incorporating trauma-informed 
                        considerations into educational, preservice, 
                        and continuing education opportunities, for the 
                        use of health professional and education 
                        organizations, national and State accreditation 
                        bodies for health care and education providers, 
                        health and education professional schools or 
                        accredited graduate schools, and other relevant 
                        training and educational entities;
                    (E) recommend best practices that--
                            (i) include practices that are culturally 
                        sensitive, linguistically appropriate, age- and 
                        gender-relevant, and appropriate for lesbian, 
                        gay, bisexual, transgender, and queer 
                        populations;
                            (ii) can be applied across underserved 
                        geographic areas; and
                            (iii) engage entire organizations in 
                        training and skill building related to the best 
                        practices; and
                    (F) recommend best practices that are designed not 
                to lead to unwarranted custody loss or criminal 
                penalties for parents or guardians in connection with 
                children and youth who have experienced or are at risk 
                of experiencing trauma.
    (e) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $3,000,000 for fiscal year 2018 
and $1,000,000 for each of fiscal years 2019 through 2022.
    (f) Definitions.--In this section:
            (1) Covered recipient.--The term ``covered recipient'' 
        means a department or other entity described in subsection 
        (c)(1)(B).
            (2) Covered setting.--The term ``covered setting'' means a 
        setting described in subsection (d)(1)(C).

SEC. 102. DONALD J. COHEN NATIONAL CHILD TRAUMATIC STRESS INITIATIVE.

    Section 582(f) of the Public Health Service Act (42 U.S.C. 290hh-
1(f)) is amended--
            (1) by striking ``$46,887,000'' and inserting 
        ``$66,887,000''; and
            (2) by adding at the end the following: ``Of the amounts 
        appropriated under this subsection for each of fiscal years 
        2018 through 2022, $7,500,000 shall be allocated to the 
        operation of the coordinating center of the National Child 
        Traumatic Stress Initiative for purposes of gathering and 
        reporting data, evaluating models, and providing technical 
        assistance.''.

      TITLE II--DISSEMINATION AND IMPLEMENTATION OF BEST PRACTICES

SEC. 201. USE OF GRANT FUNDS FOR TRAINING IN BEST PRACTICES RELATING TO 
              CHILD AND YOUTH TRAUMA AND COMMUNITY SUPPORT.

    (a) Head Start Act.--
            (1) In general.--Section 640(a) of the Head Start Act (42 
        U.S.C. 9835(a)) is amended--
                    (A) by redesignating paragraph (7) as paragraph 
                (8); and
                    (B) by inserting after paragraph (6) the following:
            ``(7) Any of the funds allocated under this subsection for 
        Head Start programs (including Early Head Start programs), for 
        training and technical assistance activities, or for 
        collaboration grants may be used to provide training for 
        administrators and other staff of Head Start agencies in the 
        best practices developed under section 101 of the Trauma-
        Informed Care for Children and Families Act of 2017.''.
            (2) Conforming amendments.--
                    (A) Section 640(a)(2)(C)(i) of the Head Start Act 
                (42 U.S.C. 9835(a)(2)(C)(i)), in the matter preceding 
                subclause (I), by inserting after ``training and 
                technical assistance activities'' the following: 
                ``(such as training in the best practices developed 
                under section 101 of the Trauma-Informed Care for 
                Children and Families Act of 2017)''.
                    (B) Sections 641A(h)(1)(B) and 645(d)(3) of the 
                Head Start Act (42 U.S.C. 9836a(h)(1)(B), 9840(d)(3)) 
                are amended by striking ``640(a)(7)'' and inserting 
                ``640(a)(8)''.
                    (C) Section 642B(a)(2)(B)(i) of the Head Start Act 
                (42 U.S.C. 9837b(a)(2)(B)(i)) is amended by inserting 
                before the semicolon the following: ``(such as by 
                providing training for administrators and other staff 
                of those agencies in the best practices developed under 
                section 101 of the Trauma-Informed Care for Children 
                and Families Act of 2017)''.
                    (D) Section 648 of the Head Start Act (42 U.S.C. 
                9843) is amended--
                            (i) in subsection (a)(3)(B)(i), by 
                        inserting after ``systems'' the following: 
                        ``(such as systems that include training in the 
                        best practices developed under section 101 of 
                        the Trauma-Informed Care for Children and 
                        Families Act of 2017)'';
                            (ii) in subsection (b)(2)(C), by inserting 
                        before the semicolon the following: ``(such as 
                        training in the best practices developed under 
                        section 101 of the Trauma-Informed Care for 
                        Children and Families Act of 2017)''; and
                            (iii) in subsection (d)(1)(G), by inserting 
                        after ``staff training'' the following ``(such 
                        as training in the best practices developed 
                        under section 101 of the Trauma-Informed Care 
                        for Children and Families Act of 2017)''.
    (b) Child Care and Development Block Grant.--Section 658G(b)(1) of 
the Child Care and Development Block Grant Act of 1990 (42 U.S.C. 
9858e(b)(1)) is amended--
            (1) in subparagraph (G), by striking ``; and'' and 
        inserting a semicolon;
            (2) in subparagraph (H), by striking the period and 
        inserting ``; and''; and
            (3) by adding at the end the following:
                    ``(I) providing training in the best practices 
                developed under section 101 of the Trauma-Informed Care 
                for Children and Families Act of 2017 for 
                administrators of child care programs, and child care 
                providers, that receive assistance under this 
                subchapter.''.
    (c) Social Services Block Grant.--Section 2002(a)(2)(B) of the 
Social Security Act (42 U.S.C. 1397a(a)(2)(B) is amended--
            (1) in clause (ii), by striking ``and'' after the 
        semicolon;
            (2) in clause (iii), by striking the period at the end and 
        inserting ``; and''; and
            (3) by adding at the end the following new clause:
                            ``(iv) training for providers in the best 
                        practices developed under section 101 of the 
                        Trauma-Informed Care for Children and Families 
                        Act of 2017.''.
    (d) Maternal and Child Health Services Block Grant.--Section 504 of 
the Social Security Act (42 U.S.C. 704) is amended by adding at the end 
the following new subsection:
    ``(e) A State may use a portion of the amounts described in 
subsection (a) for the purpose of providing training for licensed 
health care providers and public health agencies in the best practices 
developed under section 101 of the Trauma-Informed Care for Children 
and Families Act of 2017.''.
    (e) Maternal, Infant, and Early Childhood Home Visiting (MIECHV).--
Section 511(i)(2) of the Social Security Act (42 U.S.C. 711(i)(2)) is 
amended--
            (1) by redesignating subparagraphs (D) through (G) as 
        subparagraphs (E) through (H), respectively; and
            (2) by inserting after subparagraph (C) the following new 
        subparagraph:
                    ``(D) Section 504(e) (relating to the use of funds 
                for training in the best practices developed under 
                section 101 of the Trauma-Informed Care for Children 
                and Families Act of 2017).''.
    (f) Child Welfare Services.--Section 422(b)(4)(B) of the Social 
Security Act (42 U.S.C. 622(b)(4)(B)) is amended by inserting before 
the semicolon ``(which may include training in the best practices 
developed under section 101 of the Trauma-Informed Care for Children 
and Families Act of 2017)''.
    (g) Federal Payments for Foster Care and Adoption Assistance.--
Section 474(a)(3)(A) of the Social Security Act (42 U.S.C. 
674(a)(3)(A)) is amended by inserting ``, and including training in the 
best practices developed under section 101 of the Trauma-Informed Care 
for Children and Families Act of 2017'' after ``enrolled in such 
institutions''.
    (h) Healthy Start Initiative.--Section 330H(e) of the Public Health 
Service Act (42 U.S.C. 254c-8(e)) is amended by adding at the end the 
following:
            ``(3) Training providers in best practices relating to 
        trauma.--Any of the funds appropriated under paragraph (1) may 
        be used to provide training for providers in the best practices 
        developed under section 101 of the Trauma-Informed Care for 
        Children and Families Act of 2017.''.
    (i) Block Grants for Community Mental Health Services.--Section 
1920 of the Public Health Service Act (42 U.S.C. 300x-9) is amended by 
adding at the end the following:
    ``(d) Training Providers in Best Practices Relating to Trauma.--
Except as specified in subsection (c), any of the funds appropriated 
under subsection (a) may be used to provide training for providers in 
the best practices developed under section 101 of the Trauma-Informed 
Care for Children and Families Act of 2017.''.
    (j) Block Grants for Prevention and Treatment of Substance Abuse.--
Section 1935 of the Public Health Service Act (42 U.S.C. 300x-35) is 
amended by adding at the end the following:
    ``(c) Allocations for Training Providers in Best Practices Relating 
to Trauma.--Any of the funds appropriated under subsection (a) may be 
used to provide training for providers in the best practices developed 
under section 101 of the Trauma-Informed Care for Children and Families 
Act of 2017.''.
    (k) Use of Grant Funds for Training Providers in Best Practices 
Relating to Trauma.--
            (1) School-based health centers.--Section 399Z-1(l) of the 
        Public Health Service Act (42 U.S.C. 280h-5(l)) is amended by 
        adding ``Any of the funds appropriated under this subsection 
        may be used to provide training for providers in the best 
        practices developed under section 101 of the Trauma-Informed 
        Care for Children and Families Act of 2017.'' after the first 
        sentence.
            (2) Community health centers.--Section 330(r) of the Public 
        Health Service Act (42 U.S.C. 254b(r)) is amended by adding at 
        the end the following:
            ``(5) Training providers in best practices relating to 
        trauma.--Any of the funds appropriated under this subsection 
        may be used to provide training for providers in the best 
        practices developed under section 101 of the Trauma-Informed 
        Care for Children and Families Act of 2017.''.
    (l) Supporting Effective Instruction; Local Use of Funds.--Section 
2103(b)(3) of the Elementary and Secondary Education Act of 1965 (20 
U.S.C. 6613(b)(3)) is amended--
            (1) in subparagraph (O), by striking ``and'' after the 
        semicolon;
            (2) by redesignating subparagraph (P) as subparagraph (Q); 
        and
            (3) by inserting after subparagraph (O) the following:
                    ``(P) providing training for school personnel, 
                including teachers, principals, other school leaders, 
                specialized instructional support personnel, and 
                paraprofessionals, in the best practices developed 
                under section 101 of the Trauma-Informed Care for 
                Children and Families Act of 2017; and''.
    (m) Student Support and Academic Enrichment.--
            (1) State use of funds.--Section 4104(b) of the Elementary 
        and Secondary Education Act of 1965 (20 U.S.C. 7114(b)) is 
        amended--
                    (A) in paragraph (2), by striking ``or'' at the 
                end;
                    (B) in paragraph (3) by striking the period at the 
                end and inserting ``; or''; and
                    (C) by adding at the end the following:
            ``(4) providing training for teachers, administrators, 
        school counselors, mental health professionals, and other 
        appropriate personnel in the best practices developed under 
        section 101 of the Trauma-Informed Care for Children and 
        Families Act of 2017.''.
            (2) Local use of funds.--Paragraph (5) of section 4108 of 
        the Elementary and Secondary Education Act of 1965 (20 U.S.C. 
        7118) is amended--
                    (A) in subparagraph (H), by striking ``or'' at the 
                end;
                    (B) in subparagraph (I), by striking the period at 
                the end and inserting ``; or''; and
                    (C) by adding at the end the following:
                    ``(J) providing training for teachers, 
                administrators, school counselors, mental health 
                professionals, and other appropriate personnel in the 
                best practices developed under section 101 of the 
                Trauma-Informed Care for Children and Families Act of 
                2017.''.
    (n) 21st Century Community Learning Centers.--
            (1) State use of funds.--Section 4202(c)(3) of the 
        Elementary and Secondary Education Act of 1965 (20 U.S.C. 
        7172(c)(3)) is amended--
                    (A) by redesignating subparagraphs (H), (I), and 
                (G), as subparagraphs (G), (H), and (I), respectively; 
                and
                    (B) by adding at the end the following:
                    ``(J) Providing training for teachers, 
                administrators, school counselors, mental health 
                professionals, and other appropriate personnel 
                (including appropriate personnel involved with programs 
                and activities that advance student academic 
                achievement and support student success during 
                nonschool hours) in the best practices developed under 
                section 101 of the Trauma-Informed Care for Children 
                and Families Act of 2017.''.
            (2) Local use of funds.--Section 4205(a) of the Elementary 
        and Secondary Education Act of 1965 (20 U.S.C. 7175(a)) is 
        amended--
                    (A) in paragraph (13), by striking ``and'' at the 
                end;
                    (B) in paragraph (14), by striking the period at 
                the end and inserting ``; and''; and
                    (C) by adding at the end the following:
            ``(15) training for teachers, administrators, school 
        counselors, mental health professionals, and other appropriate 
        personnel in the best practices developed under section 101 of 
        the Trauma-Informed Care for Children and Families Act of 
        2017.''.
    (o) Full-Service Community Schools.--Section 4625(e) of the 
Elementary and Secondary Education Act of 1965 (20 U.S.C. 7275(e)) is 
amended--
            (1) in paragraph (2), by striking ``and'' after the 
        semicolon;
            (2) by redesignating paragraph (3) as paragraph (4); and
            (3) by inserting after paragraph (2) the following:
            ``(3) provide training for teachers, administrators, school 
        counselors, mental health professionals, and other appropriate 
        personnel (including appropriate personnel involved with the 
        full-service community school) in the best practices developed 
        under section 101 of the Trauma-Informed Care for Children and 
        Families Act of 2017; and''.
    (p) National Activities for Schools.--Section 4631(a)(1)(B) of the 
Elementary and Secondary Education Act of 1965 (20 U.S.C. 
7281(a)(1)(B)) is amended by striking ``or conducting a national 
evaluation.'' and inserting ``, conducting a national evaluation, or 
providing training for teachers, administrators, school counselors, 
mental health professionals, and other appropriate personnel in the 
best practices developed under section 101 of the Trauma-Informed Care 
for Children and Families Act of 2017.''.
    (q) IDEA.--Section 638 of the Individuals with Disabilities 
Education Act (20 U.S.C. 1438) is amended--
            (1) in paragraph (4), by striking ``and'' after the 
        semicolon;
            (2) in paragraph (5), by striking the period at the end and 
        inserting ``; and''; and
            (3) by adding at the end the following:
            ``(6) to provide training for appropriate personnel who 
        provide direct early intervention services for infants and 
        toddlers with disabilities in the best practices developed 
        under section 101 of the Trauma-Informed Care for Children and 
        Families Act of 2017.''.
    (r) Special Supplemental Nutrition Program for Women, Infants, and 
Children.--Section 17(f) of the Child Nutrition Act of 1966 (42 U.S.C. 
1786(f)) is amended by adding at the end the following:
            ``(27) Best practices.--A State agency may use a portion of 
        the amounts made available to the State agency under this 
        section for the purpose of providing training for local 
        agencies in the best practices developed under section 101 of 
        the Trauma-Informed Care for Children and Families Act of 
        2017.''.
    (s) Community Services Block Grant Act.--
            (1) State activities.--Section 675C(b)(1)(A) of the 
        Community Services Block Grant Act (42 U.S.C. 9907(b)(1)(A)) is 
        amended by inserting after ``providing training'' the 
        following: ``(which may include providing training, to the 
        entities that are providers of services to children and youth, 
        in the best practices developed under section 101 of the 
        Trauma-Informed Care for Children and Families Act of 2017)''.
            (2) National activities.--Section 678A(a)(1)(A) of the 
        Community Services Block Grant Act (42 U.S.C. 9913(a)(1)(A)) is 
        amended by inserting after ``training'' the following: ``(which 
        may include providing training, to the entities that are 
        providers of services to children and youth, in the best 
        practices developed under section 101 of the Trauma-Informed 
        Care for Children and Families Act of 2017)''.
    (t) Runaway and Homeless Youth Act.--Section 342 of the Runaway and 
Homeless Youth Act (42 U.S.C. 5714-22) is amended by inserting after 
``technical assistance and training'' the following: ``(which may 
include providing training, to providers of services under this title, 
in the best practices developed under section 101 of the Trauma-
Informed Care for Children and Families Act of 2017)''.
    (u) Programs of the Office of Refugee Resettlement.--Section 
462(b)(1) of the Homeland Security Act of 2002 (6 U.S.C. 279(b)(1)) is 
amended--
            (1) in subparagraph (K), by striking ``and'' at the end;
            (2) in subparagraph (L), by striking the period and 
        inserting ``; and''; and
            (3) by adding at the end the following:
                    ``(M) at the election of the Director, providing 
                training, to providers responsible for the care of the 
                unaccompanied alien children, in the best practices 
                developed under section 101 of the Trauma-Informed Care 
                for Children and Families Act of 2017.''.
    (v) Child Abuse Prevention and Treatment.--
            (1) National clearinghouse.--Section 103(b) of the Child 
        Abuse Prevention and Treatment Act (42 U.S.C. 5104) is 
        amended--
                    (A) in paragraph (8), by striking ``and'' at the 
                end;
                    (B) in paragraph (9), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
            ``(10) disseminate information regarding the best practices 
        developed under section 101 of the Trauma-Informed Care for 
        Children and Families Act of 2017 for individuals and officials 
        described in paragraph (8).''.
            (2) Research and assistance activities.--Section 104(b)(1) 
        of that Act (42 U.S.C. 5105(b)(1)) is amended by adding at the 
        end the following: ``Such assistance may include technical 
        assistance regarding the best practices developed under section 
        101 of the Trauma-Informed Care for Children and Families Act 
        of 2017.''.
            (3) Training.--Section 105(a)(1) of that Act (42 U.S.C. 
        5106(a)(1)) is amended--
                    (A) in subparagraph (L), by striking ``and'' at the 
                end;
                    (B) in subparagraph (M), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
                    ``(D) for providing training in the best practices 
                developed under section 101 of the Trauma-Informed Care 
                for Children and Families Act of 2017 to individuals 
                and entities described in this paragraph.''.
            (4) State child abuse or neglect prevention and treatment 
        programs.--Section 106(a) of that Act (42 U.S.C. 5106a(a)) is 
        amended--
                    (A) in paragraph (13), by striking ``or'' at the 
                end;
                    (B) in paragraph (14), by striking the period and 
                inserting ``; or''; and
                    (C) by adding at the end the following:
            ``(15) providing training in the best practices developed 
        under section 101 of the Trauma-Informed Care for Children and 
        Families Act of 2017 for employees of agencies or systems 
        described in paragraph (12), (13), or (14).''.
            (5) Community-based grants for the prevention of child 
        abuse and neglect.--Section 205(b) of that Act (42 U.S.C. 
        5116e(b)) is amended--
                    (A) in paragraph (5), by striking ``and'' at the 
                end;
                    (B) in paragraph (6), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
            ``(7) provide training in the best practices developed 
        under section 101 of the Trauma-Informed Care for Children and 
        Families Act of 2017 for providers of programs, activities, or 
        services described in this subsection.''.
    (w) Grants for Juvenile and Family Court Personnel.--Section 222(1) 
of the Victims of Child Abuse Act of 1990 (42 U.S.C. 13022(1)) is 
amended by inserting ``(which may include providing training, to the 
entities that are providers of services to children and youth, in the 
best practices developed under section 101 of the Trauma-Informed Care 
for Children and Families Act of 2017)'' after ``technical assistance 
and training''.
    (x) Grants To Support Families in the Justice System.--Section 
1301(c) of the Victims of Trafficking and Violence Protection Act of 
2000 (42 U.S.C. 10420(c)) is amended by adding at the end the 
following:
            ``(3) Best practices for trauma-informed care for children 
        and families.--In making grants under subsection (b), the 
        Attorney General shall take into account the extent to which 
        the applicant is using the best practices developed under 
        section 101 of the Trauma-Informed Care for Children and 
        Families Act of 2017.''.

SEC. 202. ESTABLISHMENT OF LAW ENFORCEMENT CHILD AND YOUTH TRAUMA 
              COORDINATING CENTER.

    (a) Establishment of Center.--
            (1) In general.--The Attorney General shall establish a 
        National Law Enforcement Child and Youth Trauma Coordinating 
        Center (referred to in this section as the ``Center'') to 
        provide assistance to State, local, and tribal law enforcement 
        agencies in interacting with 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 
        children and youth to be covered by the activities of the 
        Center.
    (b) Duties.--The Center shall provide assistance to State, local, 
and tribal law enforcement agencies by--
            (1) disseminating information on the best practices for law 
        enforcement officers developed under section 101, which may 
        include best practices based on evidence-based and evidence-
        informed models from programs of the Department of Justice and 
        the Office of Justice Services of the Bureau of Indian Affairs, 
        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, de-escalation, and crisis 
                        intervention training;
                            (ii) early interventions that link child 
                        and youth witnesses and victims, and their 
                        families as appropriate, to appropriate trauma-
                        informed services; and
                            (iii) supporting officers who experience 
                        secondary trauma;
            (2) providing professional training and technical 
        assistance; and
            (3) awarding grants under subsection (c).
    (c) Grant Program.--
            (1) In general.--The Attorney General, acting 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 practices 
                developed under section 101 for trauma-informed 
                responses to children and youth who have been exposed 
                to violence or other trauma, and their families as 
                appropriate; and
                    (B) provide professional training and technical 
                assistance in implementing the best practices 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 Attorney General at such time, in 
        such manner, and containing 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 officers on 
                the best practices developed under section 101, 
                including how to identify early signs of trauma and 
                violence exposure when interacting with children and 
                youth; and
                    (B) establish, operate, and evaluate a referral and 
                partnership program with trauma-informed clinical 
                mental health, substance use, health care, or social 
                service professionals in the community in which the law 
                enforcement agency serves.
    (d) Authorization of Appropriations.--There are authorized to be 
appropriated to the Attorney General--
            (1) $15,000,000 for each of fiscal years 2018 through 2022 
        to award grants under subsection (c); and
            (2) $2,000,000 for each of fiscal years 2018 through 2022 
        for other activities of the Center.

SEC. 203. ESTABLISHMENT OF NATIVE AMERICAN TECHNICAL ASSISTANCE 
              RESOURCE CENTER.

    (a) Definitions.--In this section:
            (1) Indian tribe; tribal organization.--The terms ``Indian 
        tribe'' and ``tribal organization'' have the meanings given the 
        terms in section 4 of the Indian Self-Determination and 
        Education Assistance Act (25 U.S.C. 5304).
            (2) Institution of higher education.--The term 
        ``institution of higher education'' has the meaning given the 
        term in section 101 of the Higher Education Act of 1965 (20 
        U.S.C. 1001).
            (3) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services, acting--
                    (A) through the Assistant Secretary for Mental 
                Health and Substance Use; and
                    (B) after consultation with--
                            (i) the Director of the Bureau of Indian 
                        Education of the Department of the Interior; 
                        and
                            (ii) the Director of the Indian Health 
                        Service.
    (b) Establishment of Center.--The Secretary shall establish and 
operate a Native American Technical Assistance Resource Center 
(referred to in this section as the ``Center'') to provide assistance 
to Indian tribes.
    (c) Duties.--The Center shall provide assistance to the Indian 
tribes by--
            (1) providing trauma-informed technical assistance to 
        tribal organizations in implementing the best practices 
        developed under section 101; and
            (2) disseminating the best practices to the tribal 
        organizations, to schools that serve students from the Indian 
        tribes, to health care entities that serve the Indian tribes, 
        to child welfare systems that serve children and youth from the 
        Indian tribes, to law enforcement agencies that serve the 
        Indian tribes, to criminal justice and court systems that serve 
        the Indian tribes, and other relevant entities.
    (d) Grant Program.--
            (1) In general.--The Secretary may award grants to 
        nonprofit organizations or institutions of higher education, to 
        operate the Center.
            (2) Application.--An organization or institution seeking a 
        grant under this subsection shall submit an application to the 
        Secretary at such time, in such manner, and containing such 
        information as the Secretary may require.
    (e) Authorization of Appropriations.--There is authorized to be 
appropriated to the Secretary, to carry out this section, $2,000,000 
for each of fiscal years 2018 through 2021.

SEC. 204. GRANTS TO IMPROVE TRAUMA SUPPORT SERVICES AND MENTAL HEALTH 
              CARE FOR CHILDREN AND YOUTH IN EDUCATIONAL SETTINGS.

    Part A of title IV of the Elementary and Secondary Education Act of 
1965 (20 U.S.C. 7101 et seq.) is amended by adding at the end the 
following:

   ``Subpart 3--Grants To Improve Trauma Support Services and Mental 
       Health Care for Children and Youth in Educational Settings

``SEC. 4131. GRANTS TO IMPROVE TRAUMA SUPPORT SERVICES AND MENTAL 
              HEALTH CARE FOR CHILDREN AND YOUTH IN EDUCATIONAL 
              SETTINGS.

    ``(a) Grants, Contracts, and Cooperative Agreements Authorized.--
The Secretary is authorized to award grants to, or enter into contracts 
or cooperative agreements with, State educational agencies, local 
educational agencies, Indian tribes or their tribal educational 
agencies, a school operated by the Bureau of Indian Education, or a 
Regional Corporation (as defined in section 3 of the Alaska Native 
Claims Settlement Act (43 U.S.C. 1602)) for the purpose of increasing 
student access to quality trauma support services and mental health 
care by developing innovative programs to link local school systems 
with local trauma-informed support and mental health systems, including 
those under the Indian Health Service.
    ``(b) Duration.--With respect to a grant, contract, or cooperative 
agreement awarded or entered into under this section, the period during 
which payments under such grant, contract or agreement are made to the 
recipient may not exceed 5 years.
    ``(c) Use of Funds.--An entity that receives a grant, contract, or 
cooperative agreement under this section shall use amounts made 
available through such grant, contract, or cooperative agreement for 
any of the following:
            ``(1) To enhance, improve, or develop collaborative efforts 
        between school-based service systems and trauma-informed 
        support and mental health service systems to provide, enhance, 
        or improve prevention, screening, referral, and treatment 
        services to students.
            ``(2) To enhance the availability of trauma support 
        services and school-based counseling programs, and provide 
        appropriate referrals and interventions for students 
        potentially in need of mental health services.
            ``(3) To provide universal trauma screenings to identify 
        students in need of specialized support.
            ``(4) To implement multi-tiered positive behavioral 
        interventions and supports, or other trauma-informed models of 
        support.
            ``(5) To provide training to teachers, teacher assistants, 
        specialized instructional support personnel, and mental health 
        professionals to--
                    ``(A) develop safe, stable, and nurturing learning 
                environments that prevent and mitigate the effects of 
                trauma, including through social and emotional 
                learning; or
                    ``(B) improve school capacity to identify, refer, 
                and provide services, as appropriate, to students in 
                need of trauma support or behavioral health services.
            ``(6) To provide technical assistance and consultation to 
        school systems and mental health agencies as well as to 
        families participating in the program carried out under this 
        section.
            ``(7) To provide linguistically appropriate and culturally 
        competent services.
            ``(8) To evaluate the effectiveness of the program carried 
        out under this section in increasing student access to quality 
        trauma support services and mental health care, and make 
        recommendations to the Secretary about the sustainability of 
        the program.
            ``(9) To engage and utilize expertise provided by 
        institutions of higher education, such as a Tribal College or 
        University, as defined in section 316(b) of the Higher 
        Education Act of 1965.
            ``(10) To provide trainings and implement procedures 
        pursuant to the relevant best practices developed under section 
        101 of the Trauma-Informed Care for Children and Families Act 
        of 2017.
    ``(d) Applications.--To be eligible to receive a grant, contract, 
or cooperative agreement under this section, an entity described in 
subsection (a) shall submit an application to the Secretary at such 
time, in such manner, and containing such information as the Secretary 
may reasonably require, such as the following:
            ``(1) A description of the program to be funded under the 
        grant, contract, or cooperative agreement.
            ``(2) A description of how such program will increase 
        access to quality trauma support services and mental health 
        care for students.
            ``(3) A description of how the applicant will establish 
        trauma support services or a school-based counseling program, 
        or both, that provide immediate prevention and mental health 
        services to the school community as necessary.
            ``(4) An assurance that--
                    ``(A) persons providing services under the grant, 
                contract, or cooperative agreement are adequately 
                trained to provide such services;
                    ``(B) the services will be provided in accordance 
                with subsection (c);
                    ``(C) teachers, administrators, specialized 
                instructional support personnel, parents or guardians, 
                representatives of local Indian tribes, and other 
                school personnel are aware of the program; and
                    ``(D) parents or guardians of students 
                participating in services under this section will be 
                engaged and involved in the design and implementation 
                of the services.
            ``(5) An assurance that the applicant will support and 
        integrate existing school-based services with the program in 
        order to provide appropriate mental health services for 
        students.
            ``(6) An assurance that the applicant will establish a 
        program that will support students and the school in improving 
        the school climate in order to support an environment conducive 
        to learning.
    ``(e) Interagency Agreements.--
            ``(1) Designation of lead agency.--A recipient of a grant, 
        contract, or cooperative agreement under this section shall 
        designate a lead agency to direct the establishment of an 
        interagency agreement among local educational agencies, 
        juvenile justice authorities, mental health agencies, and other 
        relevant entities in the State, in collaboration with local 
        entities, such as Indian tribes.
            ``(2) Contents.--The interagency agreement shall ensure the 
        provision of the services described in subsection (c), 
        specifying with respect to each agency, authority, or entity--
                    ``(A) the financial responsibility for the 
                services;
                    ``(B) the conditions and terms of responsibility 
                for the services, including quality, accountability, 
                and coordination of the services; and
                    ``(C) the conditions and terms of reimbursement 
                among the agencies, authorities, or 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 disseminate 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 agreements awarded or entered into 
under this section are equitably distributed among the geographical 
regions of the United States and among tribal, urban, suburban, and 
rural populations.
    ``(h) Rule of Construction.--Nothing in this section shall be 
construed--
            ``(1) to prohibit an entity involved with a program carried 
        out under this section from reporting a crime that is committed 
        by a student to appropriate authorities; or
            ``(2) to prevent State and tribal law enforcement and 
        judicial authorities from exercising their responsibilities 
        with regard to the application of Federal, tribal, and State 
        law to crimes committed by a student.
    ``(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 carrying 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 EXPOSURE

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 experiences through the Behavioral 
Risk Factor Surveillance System and the Youth Risk Behavior 
Surveillance System. 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 appropriate, 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 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 expectancy and whether 
                the scope of such experiences constitutes a public 
                health epidemic;
                    (C) modules that measure and assess adverse 
                childhood experiences, for development and ultimate 
                inclusion in the Youth Risk Behavior 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 enactment of 
        this Act, submit to Congress a report on the analysis under 
        paragraph (1) that includes recommendations on--
                    (A) what communities can do to mitigate the impact 
                of adverse childhood experiences and how Indian tribes, 
                social service providers, law enforcement, health care 
                practitioners, public health agencies, educational 
                institutions, and other community stakeholders may 
                collaborate to improve efforts to identify, connect to 
                appropriate services, and provide treatment and support 
                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 appropriate 
                surveillance systems, as described in subparagraphs (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 Experiences, including by considering 
                such data when awarding grants and contracts to 
                entities serving such populations or locations.

SEC. 303. GOVERNMENT ACCOUNTABILITY STUDY ON BARRIERS TO AND 
              OPPORTUNITIES FOR TRAUMA-INFORMED IDENTIFICATION AND 
              TREATMENT.

    (a) Study.--
            (1) In general.--The Comptroller General shall conduct a 
        study of the barriers to, and the opportunities for increasing, 
        the early identification and treatment of children and youth, 
        and their families as appropriate, who have experienced or are 
        at risk of experiencing trauma.
            (2) Contents.--In conducting the study, the Comptroller 
        General shall examine--
                    (A) ways in which such identification and treatment 
                could be facilitated in early childhood education and 
                care settings and elementary and secondary schools, 
                such as through improved teacher preparation, 
                professional development, and curriculum design, and 
                the development of the cognitive and social-emotional 
                skills of students;
                    (B)(i) the extent to which State Medicaid plans use 
                early and periodic screening, diagnostic, and treatment 
                services (as defined in section 1905(r) of the Social 
                Security Act (42 U.S.C. 1396d(r)) that are provided in 
                accordance with the requirements of section 1902(a)(43) 
                of such Act (42 U.S.C. 1396a(a)(43))) to provide 
                trauma-informed services to children and youth, and 
                their families as appropriate, who have experienced or 
                are at risk of experiencing trauma;
                    (ii) barriers to increased utilization of such 
                screening, diagnostic, and treatment services; and
                    (iii) the impact of State Medicaid plan design and 
                State regulatory decisions on the provision of such 
                services;
                    (C) the feasibility of, State experiences with, and 
                considerations regarding, systematic collection and 
                sharing of data that--
                            (i) is carried out by health care 
                        providers, State, local, and tribal educational 
                        agencies, social service providers, law 
                        enforcement, and any other entity providing 
                        services in a covered setting (as defined in 
                        section 101(f));
                            (ii) relies on common data measures, 
                        fosters communication and coordination across 
                        covered settings (as so defined), and promotes 
                        shared accountability for the data; and
                            (iii) relates to the screening, referral, 
                        and support of children and youth, and their 
                        families as appropriate, who have experienced 
                        or are at risk of experiencing trauma;
                    (D) privacy and consent issues affecting 
                identification and treatment of children and youth who 
                have experienced or are at risk of experiencing trauma, 
                including considerations regarding information 
                collected and reported by providers and regarding 
                parental consent;
                    (E)(i) the comprehensive, coordinated, and 
                multisector process through which State, local, and 
                tribal educational agencies locate, identify, and 
                screen infants and toddlers with disabilities, and 
                children with disabilities (including such children who 
                are youth), under the Individuals with Disabilities 
                Education Act (20 U.S.C. 1400 et seq.); and
                    (ii) considerations, strategies, alignment 
                opportunities, and applicability for trauma-informed 
                models for conducting such location, identification, 
                and screening;
                    (F)(i) clinical child and adolescent mental health 
                and child- and youth-serving social service workforce 
                capacity, including analyzing that capacity by setting, 
                geographic distribution, and population served; and
                    (ii) barriers that contribute to any shortages in 
                professionals in that workforce; and
                    (G) the cost-effectiveness and success of providing 
                services through school-based health centers as a 
                method of--
                            (i) addressing the needs of students who 
                        have experienced or are at risk of experiencing 
                        trauma; and
                            (ii) improving their academic achievement.
    (b) Report.--The Comptroller General shall submit a report 
containing the results of the study to--
            (1) the Committee on Appropriations, the Committee on 
        Health, Education, Labor, and Pensions, the Committee on 
        Finance, the Committee on Indian Affairs, and the Committee on 
        the Judiciary of the Senate; and
            (2) the Committee on Appropriations, the Committee on 
        Energy and Commerce, the Committee on Education and the 
        Workforce, the Committee on Ways and Means, the Committee on 
        Natural Resources, and the Committee on the Judiciary of the 
        House of Representatives.
    (c) Definitions.--In this section:
            (1) Child with a disability.--The term ``child with a 
        disability'' has the meaning given the term in section 602 of 
        the Individuals with Disabilities Education Act (20 U.S.C. 
        1401).
            (2) Infant or toddler with a disability.--The term ``infant 
        or toddler with a disability'' has the meaning given the term 
        in section 632 of the Individuals with Disabilities Education 
        Act (20 U.S.C. 1432).

SEC. 304. NIH REPORT ON TRAUMA.

    The Director of the National Institutes of Health, not later than 1 
year after the date of enactment of this Act, shall submit to Congress 
a report on the activities of the National Institutes of Health with 
respect to trauma (including trauma that stems from child abuse, 
exposure to violence, and toxic stress) and the implications of trauma 
for children, youth, and adults. Such report shall include--
            (1) the comprehensive research agenda of the National 
        Institutes of Health with respect to trauma;
            (2) the capacity, expertise, and review mechanisms of the 
        National Institutes of Health with respect to the evaluation 
        and examination of research proposals related to child trauma, 
        including coordination across institutes and centers;
            (3) the relevance of trauma to other diseases, outcomes, 
        and domains;
            (4) strategies to link and analyze data from multiple 
        independent sources, including child welfare, health care 
        (including mental health care), law enforcement, and education 
        systems, to enhance research efforts and improve health 
        outcomes;
            (5) the efficacy of existing interventions, including 
        clinical treatment methods, child- and family-focused 
        prevention models, and community-based approaches, in 
        mitigating the effects of experiencing trauma and improving 
        health and societal outcomes; and
            (6) identification of gaps in understanding in the field of 
        trauma and areas of greatest need for further research related 
        to trauma.

    TITLE IV--EVALUATION OF NEW INTERVENTIONS AND IMPROVING SERVICE 
                                DELIVERY

SEC. 401. CLARIFICATION OF DEFINITION OF MEDICAID EPSDT SERVICES; 
              DEMONSTRATION PROJECT TO TEST TRAUMA-INFORMED DELIVERY OF 
              EPSDT SERVICES.

    (a) Clarification of Definition of EPSDT Services.--Section 1905(r) 
of the Social Security Act (42 U.S.C. 1396d(r)) is amended--
            (1) in paragraph (1)--
                    (A) in subparagraph (A)(ii), by inserting 
                ``(including in the immediate aftermath of exposure to 
                a traumatic event)'' after ``medically necessary''; and
                    (B) in subparagraph (B)(i), by inserting ``and any 
                past exposure to traumatic events'' after ``health 
                development''; and
            (2) in paragraph (5), by inserting ``including any defects, 
        illnesses, and conditions (including symptoms of a possible 
        mental health disorder that are not sufficiently acute for a 
        diagnosis of a clinical mental health disorder) stemming from 
        exposure to traumatic events,'' after ``screening services,''.
    (b) Trauma-Informed Delivery of EPSDT Services Demonstration 
Project.--
            (1) In general.--The Secretary shall make grants to States 
        to conduct demonstration projects under title XIX of the Social 
        Security Act (42 U.S.C. 1396 et seq.) to test innovative, 
        trauma-informed approaches for delivering early and periodic 
        screening, diagnostic, and treatment services (as defined in 
        section 1905(r) of the Social Security Act (42 U.S.C. 
        1396d(r))) to eligible children.
            (2) Scope and duration.--
                    (A) Scope.--The Secretary shall select 10 States to 
                participate in the demonstration project.
                    (B) Selection.--
                            (i) Diversity.--In selecting States to 
                        participate in the demonstration project, the 
                        Secretary shall--
                                    (I) ensure that geographically 
                                diverse areas, including rural and 
                                underserved areas, are included; and
                                    (II) include at least 2 States in 
                                which Indian tribes or tribal 
                                organizations (as defined in section 4 
                                of the Indian Health Care Improvement 
                                Act (25 U.S.C. 1603)) are located.
                            (ii) Priority.--In selecting States to 
                        participate in the demonstration project, the 
                        Secretary shall give priority to States that--
                                    (I) use a value-based payment 
                                methodology for paying providers for 
                                services provided under the State 
                                Medicaid program, including services 
                                related to healthy child development;
                                    (II) use an alternative payment 
                                model under the State Medicaid program 
                                that enables cross-sector 
                                collaboration, provision of trauma-
                                informed services, and supports for 
                                healthy child development; or
                                    (III) integrate information 
                                technology between child- and youth-
                                serving sectors to improve coordination 
                                and outcomes.
                    (C) Duration.--The demonstration project shall 
                begin not later than 1 year after the date of the 
                enactment of this Act, and shall be conducted for a 
                period of 4 years.
            (3) Requirements.--To be eligible for a grant under this 
        subsection, a State that is participating in the demonstration 
        project shall demonstrate that it has implemented the following 
        measures with respect to the State Medicaid program:
                    (A) The State Medicaid program allows for the 
                provision of early and periodic screening, diagnostic, 
                and treatment services--
                            (i) in a diverse set of settings, including 
                        schools, hospitals, primary care settings, 
                        Federally-qualified health centers (as defined 
                        in section 1905(l)(2)(B) of the Social Security 
                        Act (42 U.S.C. 1396d(l)(2)(B))), and tribally-
                        operated health facilities, without undue 
                        restrictions on the settings in which providers 
                        are permitted to furnish such services; and
                            (ii) by the full scope of providers that 
                        are licensed or otherwise authorized under 
                        State law to provide the services, including 
                        trained peers through eligible peer support 
                        services, community health workers, or 
                        subclinical case managers.
                    (B) Where necessary to improve or promote the 
                health of an eligible child, the State Medicaid program 
                provides for payment for services provided to the 
                parent of the child.
                    (C) The State Medicaid program has procedures in 
                place to coordinate across settings, which may include 
                coordinating with law enforcement, juvenile justice 
                agencies, schools (including preschools and after-
                school programs), hospitals, primary care providers, 
                tribally-operated health facilities, mental health and 
                substance use treatment facilities, and child welfare 
                providers, to ensure that eligible children who 
                experience trauma receive the appropriate services.
                    (D) Where appropriate, the State Medicaid program 
                coordinates with facilities of the Indian Health 
                Service (including a hospital, nursing facility, or any 
                other type of facility which provides services of a 
                type otherwise covered under the program) and other 
                tribally-operated health facilities to ensure eligible 
                children have access to adequate qualified providers 
                that are licensed or otherwise authorized under State 
                law to furnish the services.
            (4) Funding.--Out of any funds in the Treasury not 
        otherwise appropriated, there is appropriated $75,000,000 for 
        the period of fiscal years 2017 through 2021 to carry out this 
        subsection.
            (5) Definitions.--In this subsection:
                    (A) Demonstration project.--The term 
                ``demonstration project'' means the demonstration 
                project established under this subsection.
                    (B) Eligible child.--The term ``eligible child'' 
                means an individual who is under age 21 and who is 
                enrolled in a State plan under title XIX of the Social 
                Security Act (42 U.S.C. 1396 et seq.).
                    (C) Secretary.--The term ``Secretary'' means the 
                Secretary of Health and Human Services.
                    (D) State medicaid program.--The term ``State 
                Medicaid program'' means a State plan or waiver under 
                title XIX of the Social Security Act (42 U.S.C. 1396 et 
                seq.).

SEC. 402. HEALTH PROFESSIONAL SHORTAGE AREAS.

    Section 332(a) of the Public Health Service Act (42 U.S.C. 254e(a)) 
is amended--
            (1) in paragraph (2)(A), by inserting ``(including a 
        community health center operated in an elementary or secondary 
        school)'' after ``community health center''; and
            (2) in paragraph (3)--
                    (A) by striking ``, and residents'' and inserting 
                ``, residents''; and
                    (B) by inserting ``, and a population group that 
                the Secretary determines has experienced trauma (such 
                as through acute or long-term exposure to substantial 
                discrimination, historical or cultural oppression, 
                intergenerational poverty, civil unrest, a high rate of 
                violence, or a high rate of drug overdose mortality)'' 
                before ``may be''.

SEC. 403. TRAINING AND CERTIFICATION GUIDELINES FOR COMMUNITY FIGURES.

    The Secretary of Health and Human Services, acting through the 
Administrator of the Agency for Healthcare Research and Quality, shall 
conduct a study on, and establish guidelines for States to consider 
with respect to, the training and certification of community figures, 
including community mentors, peers with lived experiences, and faith-
based leaders, to build awareness of trauma and promote linkages to 
community services, provide case management services, and conduct 
appropriate trauma-informed screening for individuals who have 
experienced or are at risk of experiencing trauma. Such training and 
certification guidelines shall include recommendations for experience, 
education, and supervision requirements for, and partnerships between, 
such trained and certified community figures and other health care 
providers such that the trained and certified community figures may be 
reimbursed through the State Medicaid plan under title XIX of the 
Social Security Act (42 U.S.C. 1396 et seq.) for furnishing services to 
individuals enrolled in such plan.

SEC. 404. TRAINING FOR HEALTH CARE WORKFORCE.

    (a) Mental and Behavioral Health Education and Training Program.--
Section 756 of the Public Health Service Act (42 U.S.C. 294e-1) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (1), by inserting ``, trauma,'' 
                after ``focus on child and adolescent mental health''; 
                and
                    (B) in paragraphs (2) and (3), by inserting 
                ``trauma-informed care and'' before ``substance use 
                disorder prevention and treatment services''; and
            (2) in subsection (d)--
                    (A) in paragraph (1), by striking ``and'' at the 
                end;
                    (B) in paragraph (2), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
            ``(3) programs with academic study and community practice 
        related to trauma, its impact on mental and behavioral health 
        outcomes, and appropriate interventions, which may include best 
        practices developed under section 101 of the Trauma-Informed 
        Care for Children and Families Act of 2017.''.
    (b) Training Demonstration Program.--Section 760 of such Act (42 
U.S.C. 294k) is amended--
            (1) in subsection (a)--
                    (A) in paragraphs (1) and (2), by inserting 
                ``trauma-informed'' after ``integrate''; and
                    (B) in paragraph (3)(A), by inserting ``, and 
                recognize and address the impacts of experiencing 
                trauma on children, youth, and families'' before the 
                semicolon;
            (2) in subsection (b)--
                    (A) in paragraph (1)(A)--
                            (i) in clause (i)(II), by inserting 
                        ``trauma-informed'' after ``integrated''; and
                            (ii) in clause (ii)(III), by inserting 
                        ``trauma-informed'' before ``treatment''; and
                    (B) in paragraph (2)(A), by inserting ``trauma-
                informed'' after ``integrate'';
            (3) in subsection (c)(1)(B), by inserting ``trauma-
        informed'' after ``integrate''; and
            (4) in subsection (d)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (C), by striking ``or'' 
                        at the end;
                            (ii) in subparagraph (D), by striking the 
                        period and inserting ``; or''; and
                            (iii) by adding at the end the following:
                    ``(E) provide training with academic study and 
                community practice related to trauma, its impact on 
                mental health outcomes, and appropriate interventions, 
                which may include best practices developed under 
                section 101 of the Trauma-Informed Care for Children 
                and Families Act of 2017.''; and
                    (B) in paragraph (2)--
                            (i) in subparagraph (D), by striking ``or'' 
                        at the end;
                            (ii) in subparagraph (E), by striking the 
                        period and inserting ``; or''; and
                            (iii) by adding at the end the following:
                    ``(F) provide training with academic study and 
                community practice related to trauma, its impact on 
                mental health outcomes, and appropriate interventions, 
                which may include best practices developed under 
                section 101 of the Trauma-Informed Care for Children 
                and Families Act of 2017.''.

SEC. 405. TRAUMA-RELATED COORDINATING BODIES.

    Part G of title V of the Public Health Service Act (42 U.S.C. 290hh 
et seq.) is amended by adding at the end the following:

``SEC. 583. TRAUMA-RELATED COORDINATING BODIES.

    ``(a) Grants.--
            ``(1) In general.--The Secretary, acting through the 
        Administrator, shall make not more than 20 grants for 
        demonstration projects to State, local, or tribal eligible 
        entities to act as trauma-related coordinating bodies.
            ``(2) Amount.--The Secretary shall make such a grant in an 
        amount of not more than $4,000,000.
            ``(3) Duration.--The Secretary shall make such a grant for 
        a period 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 more representatives 
        of each of the categories described in paragraph (2).
            ``(2) Composition.--The categories referred to in paragraph 
        (1) are--
                    ``(A) agencies, such as public health or child 
                welfare agencies, that provide services to prevent the 
                impact of trauma among, identify, refer for services, 
                or support (including providing treatment for) children 
                and youth, and their families as appropriate, that have 
                experienced or are at risk of experiencing trauma;
                    ``(B) faculty at an institution of higher 
                education, or researchers or experts, in an area 
                related to prevention of the impact of, identification 
                of, referral for services for, or support (including 
                treatment) for child and youth trauma;
                    ``(C) hospitals or other health care institutions, 
                such as mental health and substance use treatment 
                facilities;
                    ``(D) law enforcement;
                    ``(E) elementary or secondary schools, or early 
                childhood education or care programs;
                    ``(F) community-based faith, human services, or 
                social services organizations, including providers of 
                after-school programs, home visiting programs, or 
                programs to prevent or address the impact of violence; 
                and
                    ``(G) the general public, including individuals who 
                have experienced trauma.
            ``(3) Qualifications.--In order for an entity to be 
        eligible to receive the grant, the representatives included in 
        the entity shall, collectively, have professional training and 
        expertise concerning a broad range of adverse childhood 
        experiences.
    ``(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 containing such information as the Secretary 
may require, including information describing how the coordinating body 
will continue its activities after the end of the grant period.
    ``(d) Priority.--In making grants under this section, the Secretary 
shall give priority to entities proposing to serve communities that 
have faced trauma due to substantial discrimination, historical or 
cultural oppression, intergenerational poverty, civil unrest, a high 
rate of violence, or a high rate of drug overdose mortality.
    ``(e) Use of Funds.--An entity that receives a grant under this 
section to act as a coordinating body shall use the grant funds--
            ``(1) to bring together stakeholders who provide or use 
        services in, or have expertise concerning, covered settings to 
        identify community needs and resources related to services to 
        prevent or address the impact of trauma, and to build on any 
        needs assessments conducted by organizations or groups 
        represented on the coordinating body;
            ``(2)(A) to collect data, on indicators specified by the 
        Secretary, that covers multiple covered settings; and
            ``(B) to use the data to identify unique community 
        challenges, gaps in services, and high-need areas, related to 
        services to prevent or address the impact of trauma;
            ``(3) to build awareness, skills, and leadership (including 
        through trauma-informed training and public outreach campaigns) 
        related to implementing the best practices developed under 
        section 101 of the Trauma-Informed Care for Children and 
        Families Act of 2017 (referred to in this subsection as the 
        `developed best practices');
            ``(4) to pool resources of the members of the organizations 
        and groups represented on the coordinating body, related to 
        implementing the developed best practices; and
            ``(5) to develop a strategic plan that identifies--
                    ``(A) barriers to and gaps in the provision of 
                services to prevent or address the impact of trauma; 
                and
                    ``(B) policy goals and coordination opportunities 
                (including coordination in applying for grants) 
                relating to implementing the developed best practices.
    ``(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-related coordination activities.
    ``(g) Evaluation.--At the end of the period for which grants are 
made under this section, the Secretary 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 $80,000,000 for the period of 
fiscal years 2018 through 2021.
    ``(i) Definition.--In this section, the term `covered setting' has 
the meaning given the term in section 101(f) of the Trauma-Informed 
Care for Children and Families Act of 2017.''.

SEC. 406. EXPANSION OF PERFORMANCE PARTNERSHIP PILOT FOR CHILDREN WHO 
              HAVE EXPERIENCED 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 children and youth, and 
        their families as appropriate, who have experienced or are at 
        risk of experiencing trauma' means to increase the rate at 
        which individuals who have experienced or are at risk of 
        experiencing trauma, including those who are low-income, 
        homeless, in foster care, involved in the juvenile justice 
        system, unemployed, or not enrolled in or at risk of dropping 
        out of an educational institution and live in a community that 
        has faced acute or long-term exposure to substantial 
        discrimination, historical oppression, intergenerational 
        poverty, civil unrest, or a high rate of violence, achieve 
        success in meeting educational, employment, health, 
        developmental, community reentry, or other key goals.'';
            (2) in subsection (b)--
                    (A) in the subsection heading, by striking ``Fiscal 
                Year 2014'' and inserting ``Fiscal Years 2018 Through 
                2022'';
                    (B) by redesignating paragraphs (1) and (2) as 
                subparagraphs (A) and (B), respectively, and by moving 
                such subparagraphs, as so redesignated, 2 ems to the 
                right;
                    (C) by striking ``Federal agencies'' and inserting 
                the following:
            ``(1) Disconnected youth pilots.--Federal agencies''; and
                    (D) by adding at the end the following:
            ``(2) Trauma-informed care pilots.--Federal agencies may 
        use Federal discretionary funds that are made available in this 
        Act or any Act appropriating funds for any of fiscal years 2018 
        through 2022 to carry out up to 10 Performance Partnership 
        Pilots. Such Pilots shall--
                    ``(A) be designed to improve outcomes for children 
                and youth, and their families as appropriate, who have 
                experienced or are at risk of experiencing trauma; and
                    ``(B) involve Federal programs targeted on children 
                and youth, and their families as appropriate, who have 
                experienced or are at risk of experiencing trauma.'';
            (3) in subsection (c)(2)(A), by striking ``2018'' and 
        inserting ``2022''; and
            (4) in subsection (e), by striking ``2018'' and inserting 
        ``2022''.

SEC. 407. TRAUMA-INFORMED TEACHING.

    (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 general 
                education and special education teachers to work with 
                students who have experienced trauma (including 
                students who are involved in the foster care or 
                juvenile justice systems or runaway or homeless youth) 
                and in alternative education settings in which high 
                populations of youth with trauma exposure may learn 
                (including settings for correctional education, 
                juvenile justice, pregnant 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'' at the 
                end;
                    (B) by redesignating subclause (III) as subclause 
                (IV); and
                    (C) by inserting after subclause (II) the 
                following:
                                    ``(III) such teachers to adopt 
                                evidence-based approaches for improving 
                                behavior (such as positive behavior 
                                interventions and supports and 
                                restorative justice), supporting social 
                                and emotional learning, mitigating the 
                                effects of trauma, improving the 
                                learning environment in the school, and 
                                for reducing the need for suspensions, 
                                expulsions, corporal punishment, 
                                referrals to law enforcement, and other 
                                actions that remove students from 
                                instruction; and''; and
            (3) in subsection (d), by adding at the end the following:
            ``(7) Trauma-informed practice and work in alternative 
        education settings.--Developing the teaching skills of 
        prospective and, as applicable, new elementary school and 
        secondary school teachers to adopt evidence-based trauma-
        informed teaching strategies--
                    ``(A) to--
                            ``(i) recognize the signs of trauma and its 
                        impact on learning;
                            ``(ii) maximize student engagement; and
                            ``(iii) minimize suspension and expulsion; 
                        and
                    ``(B) including programs training teachers to work 
                with students with exposure to traumatic events 
                (including students involved in the foster care or 
                juvenile justice systems) and in alternative academic 
                settings for youth unable to participate in a 
                traditional public school program in which high 
                populations of students with trauma exposure may learn 
                (such as students involved in the foster care or 
                juvenile justice systems, pregnant and parenting 
                students, runaway and homeless students, and other 
                youth who have re-entered school after a period of 
                absence due to dropping out).''.
    (b) 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'' at the end;
            (2) in subparagraph (B), by striking the period 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 training programs for 
                general education and special education teachers.''.
                                 <all>