119-hr2957

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2957 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 2957

 To amend the Public Health Service Act to support the development and 
 implementation of programs using data analysis to identify and 
 facilitate strategies to improve outcomes for children in geographic 
 areas with a high prevalence of trauma from exposure to adverse 
 childhood experiences, and for other purposes.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 April 17, 2025

 Ms. Pressley (for herself, Mr. Thanedar, Ms. Norton, and Ms. Tlaib) 
 introduced the following bill; which was referred to the Committee on 
 Energy and Commerce

_______________________________________________________________________

 A BILL

 To amend the Public Health Service Act to support the development and 
 implementation of programs using data analysis to identify and 
 facilitate strategies to improve outcomes for children in geographic 
 areas with a high prevalence of trauma from exposure to adverse 
 childhood experiences, 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 ``Services and Trauma-informed 
Research of Outcomes in Neighborhoods Grants for Support for Children 
Act of 2025'' or the ``STRONG Support for Children Act of 2025''.

SEC. 2. DATA ANALYSIS AND STRATEGY IMPLEMENTATION TO PREVENT AND 
 MITIGATE CHILDHOOD TRAUMA.

 Title XXXI of the Public Health Service Act (42 U.S.C. 300kk) is 
amended by adding at the end the following:

``

SEC. 3102. DATA ANALYSIS AND STRATEGY IMPLEMENTATION TO PREVENT AND 
 MITIGATE CHILDHOOD TRAUMA.

 ``

    (a) In General.--The Secretary shall establish a program--
 ``

    (1) to support the development and implementation of 
 programs that use data analysis methods to identify and 
 facilitate strategies for early intervention and prevention, in 
 order to prevent and mitigate childhood trauma and support 
 communities and families, including--
 ``
        (A) improving connections through care 
 coordination;
 ``
        (B) aligning community initiatives in targeted 
 areas of need; and
 ``
            (C) expanding community capacity through cross-
 sector collaboration; and
 ``

    (2) to evaluate the effectiveness of these programs in 
 improving outcomes for children.
 ``

    (b) Grants.--The Secretary shall award grants to up to 5 eligible 
entities to carry out the activities described in subsection

    (a) .
 ``
            (c) Use of Funds.--A grant for activities under this section 
shall be used to support the development and implementation of programs 
that use data analysis methods to identify and facilitate strategies 
for early intervention and prevention, in order to prevent and mitigate 
childhood trauma and support communities and families, including as 
follows:
 ``

    (1) Utilize data analysis methods to--
 ``
        (A) identify specific geographic areas, such as 
 census tracts, with a high prevalence of adverse 
 childhood experiences and significant risk factors for 
 poor outcomes for children (such as increased risk of 
 experiencing adverse childhood experiences), including 
 areas with high rates of--
 ``
            (i) poor public health outcomes including 
 illness, disease, suicide, and mortality;
 ``
            (ii) exclusionary discipline practices, 
 including suspensions, expulsions, and 
 referrals to law enforcement, as well as low 
 graduation rates;
 ``
            (iii) substance use disorders;
 ``
            (iv) poverty;
 ``
            (v) foster system involvement or 
 referrals;
 ``
            (vi) housing instability and 
 homelessness;
 ``
            (vii) food insecurity;
 ``
            (viii) inequity, including disparities in 
 income, wealth, employment, educational 
 attainment, health care access, and public 
 health outcomes, along lines of race, sex, 
 sexuality and gender identity, ethnicity, or 
 nationality;
 ``
            (ix) incarceration rates; or
 ``
            (x) other indicators of adversity as 
 defined by the Secretary; and
 ``
        (B) identify strategies to improve outcomes for 
 children aged 0 through 17 that build on strengths in 
 communities that could be further supported, 
 including--
 ``
            (i) existing support networks for 
 families; and
 ``
            (ii) enhanced connections to community-
 based organizations.
 ``

    (2) Implement strategies identified pursuant to paragraph

    (1)
        (B) to facilitate outreach and involvement of children and 
 their caregivers in Federal, State, or local programs that 
 provide reparative, gender-responsive, culturally specific, and 
 trauma-informed prevention services, and for which children and 
 their caregivers are eligible, including--
 ``
        (A) home visiting programs;
 ``
        (B) training and education on parenting skills;
 ``
            (C) substance use disorder prevention and 
 treatment that is voluntary and noncoercive;
 ``
            (D) mental health supports and care that is 
 voluntary and noncoercive;
 ``
        (E) family and intimate partner violence 
 prevention services;
 ``
        (F) child advocacy center programming;
 ``
        (G) economic and nutrition support services;
 ``
        (H) housing support services, including emergency 
 and temporary shelter for those experiencing 
 homelessness and housing insecurity, as well as stable, 
 long-term housing;
 ``
            (I) voluntary, noncoercive, gender-responsive, 
 and culturally specific mental health supports in 
 school and early childhood education center-based 
 settings;
 ``
        (J) wraparound programs for transitioning youth 
 and youth currently in the foster system;
 ``
        (K) programming to support the health and well-
 being of lesbian, gay, bisexual, transgender, and 
 intersex children and their families; and
 ``
            (L) family resource center services.
 ``
            (d) Special Rules.--
 ``

    (1) Primary payer restriction.--The Secretary may not 
 award a grant under this section to an eligible entity for a 
 service if the service to be provided is available pursuant to 
 the State plan approved under title XIX of the Social Security 
 Act for the State in which the program funded by the grant is 
 being conducted unless the State and all eligible subdivisions 
 involved--
 ``
        (A) will enter into agreements with public or 
 nonprofit private entities under which the entities 
 will provide the service; and
 ``
        (B) demonstrate that the State and all eligible 
 subdivisions will ensure that the entities providing 
 the service--
 ``
            (i) will seek payment for each such 
 service rendered in accordance with the usual 
 payment schedule under the State plan; and
 ``
            (ii) the entities have entered into a 
 participation agreement and are qualified to 
 receive payments under such plan.
 ``

    (2) Implementation.--An eligible entity that receives a 
 grant under this section may use--
 ``
        (A) not more than 25 percent of the amounts made 
 available through the grant for the first 24 months of 
 the grant period to utilize data analysis methods to--
 ``
            (i) identify specific geographic areas 
 where care coordination, prevention and early 
 intervention, and facilitation services will be 
 provided; and
 ``
            (ii) identify support and intervention 
 services to improve outcomes for children 
 located in a geographic area identified under 
 subsection
            (c) (1)
        (A) ; and
 ``
        (B) not more than 10 percent of the grant in each 
 subsequent year to continue data analysis activities.
 ``

    (3) Administration.--An eligible entity that receives a 
 grant under this section may not use more than 5 percent of 
 amounts received through the grant for administration, 
 reporting, and program oversight functions, including the 
 development of systems to improve data collection and data 
 sharing for the purposes of improving services and the 
 provision of care.
 ``

    (4) Priority.--
 ``
        (A) In general.--In awarding grants under this 
 section, the Secretary shall give priority, to the 
 extent practical, to eligible entities that use 
 community-based system dynamic modeling as the primary 
 data analysis method.
 ``
        (B) System dynamic modeling defined.--The term 
 `system dynamic modeling' means a method of data 
 analysis and predictive modeling that includes--
 ``
            (i) utilization of community-based 
 participatory research methods for involving 
 community in the process of understanding and 
 changing systems and evaluating outcomes of 
 grants;
 ``
            (ii) consideration of a multitude of 
 environmental risk factors and ascertainment of 
 the significance of contributing community risk 
 factors for purposes of identifying strategies 
 to reduce adverse child outcomes, including--
 ``
            (I) maltreatment cases;
 ``
            (II) involvement with the 
 juvenile criminal legal system or 
 foster system;
 ``
            (III) exclusionary school 
 discipline; or
 ``
            (IV) exposure to violence; and
 ``
            (iii) identification of cross-sector 
 responses involving reparative, trauma-
 informed, culturally specific, gender-
 responsive, and community-based organizations 
 to reduce adverse child outcomes.
 ``

    (5) Subgrant.--
 ``
        (A) In general.--An eligible entity that receives 
 a grant under this section shall use at least 25 
 percent of the total amount of the grant to make 
 subgrants to organizations that aide in implementing 
 the strategy identified under subsection
            (c) (1)
        (B) for 
 preventing and mitigating childhood trauma and 
 supporting communities and families.
 ``
        (B) Eligibility.--To be eligible to receive a 
 subgrant under this paragraph, an organization shall 
 prepare and submit to the eligible entity an 
 application in such form, and containing such 
 information, as the eligible entity may require, 
 including evidence that the--
 ``
            (i) needs of the population to be served 
 are urgent and are not met by the services 
 currently available in the geographic area; and
 ``
            (ii) the organization has the capacity to 
 provide the services listed in subsection
            (c) (2) .
 ``
            (C) Supplement not supplant.--Subgrant funds 
 received pursuant to this paragraph by an organization 
 shall be used to supplement and not supplant State or 
 local funds provided to the partnership organization 
 for services listed in subsection
            (c) (2) .
 ``

    (e) Application.--To be eligible to receive a grant under this 
section, an eligible entity shall submit to the Secretary an 
application in such form, and containing such information, as the 
Secretary may require, to include the following:
 ``

    (1) A demonstration that--
 ``
        (A) the applicant utilizes trauma-informed, 
 culturally specific, and gender-responsive practices, 
 including a demonstration of the extent to which the 
 applicant has trained staff in these practices;
 ``
        (B) the applicant has the capacity to administer 
 the grant, including conducting all required data 
 analysis activities; and
 ``
            (C) services will be provided to children and 
 families in an accessible, culturally relevant, and 
 linguistically specific manner consistent with local 
 needs.
 ``

    (2) A preliminary analysis of how the applicant will use 
 the grant to--
 ``
        (A) identify the geographic area or areas to be 
 served using data analysis methods;
 ``
        (B) utilize data analysis methods to identify 
 strategies to improve outcomes for children in the 
 geographic area;
 ``
            (C) facilitate strategies identified through care 
 coordination efforts; and
 ``
            (D) track data for evaluation of outcomes.
 ``

    (3) A detailed project plan for the use of the grant that 
 includes anticipated technical assistance needs.
 ``

    (4) Additional funding sources, including State and local 
 funds, supporting the prevention and mitigation of adverse 
 childhood experiences.
 ``

    (f) Grant Amount.--The amount of a grant under this section shall 
not exceed $9,500,000.
 ``

    (g) Period of a Grant.--The period of a grant under this section 
shall not exceed 7 years.
 ``

    (h) Service Provision Without Regard to Ability To Pay.--As a 
condition on receipt of a grant under this section, an eligible entity 
shall agree that any assistance provided to an individual through the 
grant will be provided without regard to--
 ``

    (1) the ability of the individual to pay for such 
 services;
 ``

    (2) the current or past health condition of the 
 individual to be served;
 ``

    (3) the immigration status of the individual to be 
 served;
 ``

    (4) the sexual orientation and gender identity of the 
 individual to be served; and
 ``

    (5) any prior involvement of the individual in the 
 criminal legal system.
 ``
            (i) Prohibitions.--In addition to any other prohibitions 
determined by the Secretary, an eligible entity may not use a grant 
under this section to--
 ``

    (1) use data analysis methods to inform individual case 
 decisions, including child removal or placement decisions, or 
 to target services at certain individuals or families;
 ``

    (2) require any individual or family to participate in 
 any service or program as a condition of receipt of a benefit 
 to which the individual or family is otherwise eligible;
 ``

    (3) increase the presence or funding of law enforcement 
 surveillance, involvement, or activity in implementing the 
 strategies identified under subsection
            (c) (1)
        (B) ; or
 ``

    (4) enable the practice of conversion therapy.
 ``

    (j) Evaluation.--
 ``

    (1) Data model evaluation.--Not later than 36 months 
 after the date of enactment of this section, the Assistant 
 Secretary for Planning and Evaluation of the Department of 
 Health and Human Services, in coordination with the grantees 
 receiving a grant under this section, shall complete an 
 evaluation of the effectiveness of the data model accuracy of 
 the grant program under this section to address each of the 
 following:
 ``
        (A) Determining the effectiveness of the 
 grantees' use of data analysis methods to identify 
 geographic areas pursuant to subsection
            (c) (1) .
 ``
        (B) Examining the grantees' development and 
 utilization of data analysis methods.
 ``
            (C) Examining the grantees' ability to 
 effectively utilize data analysis methods in future 
 prevention work.
 ``
            (D) Establishing a method for rigorously 
 evaluating the activities of grantees and comparing the 
 reduction of child and family exposure to adverse 
 experiences in other communities with similar 
 demographics.
 ``
        (E) Examining the grantees' utilization of 
 community-based system dynamics modeling methods and 
 other community engagement methods.
 ``

    (2) Program evaluation.--Not later than 6 years after the 
 date of enactment of this section, the Assistant Secretary for 
 Planning and Evaluation of the Department of Health and Human 
 Services, in coordination with eligible entities receiving 
 grants under this section, shall complete an evaluation of the 
 effectiveness of the grant program under this section.
 ``

    (3) Data collection.--
 ``
        (A) In general.--The Assistant Secretary for 
 Planning and Evaluation of the Department of Health and 
 Human Services and each eligible entity receiving a 
 grant under this section shall collect any relevant 
 data necessary to complete the evaluations required by 
 paragraphs

    (1) and

    (2) to include--
 ``
            (i) the activities funded by the grant 
 under this section, including development and 
 implementation data analysis methods;
 ``
            (ii) the number of children and of 
 families receiving coordination and 
 facilitation of care and services; and
 ``
            (iii) the effect of activities supported 
 by the grant under this section on the local 
 area serviced by the program, including such 
 effects on--
 ``
            (I) children and adolescents' 
 health and well-being;
 ``
            (II) the number of children who 
 enter into or depart from foster 
 services; and
 ``
            (III) homelessness and housing 
 insecurity.
 ``
        (B) Study.--
 ``
            (i) In general.--Not later than 7 years 
 after the date of enactment of this section, 
 the Assistant Secretary for Planning and 
 Evaluation of the Department of Health and 
 Human Services shall--
 ``
            (I) complete a study on the 
 results of the grant program under this 
 section using the community-based 
 participatory action research method, 
 which focuses on social, structural, 
 and physical environmental inequities 
 through active involvement of community 
 members, clients, organizational 
 representatives, and researchers in all 
 aspects of the research process; and
 ``
            (II) submit a report on the 
 results of the study to the Congress.
 ``
            (ii) Partners.--In conducting the study 
 under clause
            (i) , the Assistant Secretary for 
 Planning and Evaluation of the Department of 
 Health and Human Services shall ensure that 
 partners and persons that have participated in 
 the grant program under this section on every 
 level, especially those such partners or 
 persons receiving services and support through 
 the program, have an opportunity to contribute 
 their expertise to evaluating the strategy and 
 outcomes.
 ``

    (k) Report.--Not later than three months after the completion of 
the evaluation required by subsection

    (j)

    (2) , the Assistant Secretary 
for Planning and Evaluation of the Department of Health and Human 
Services shall submit to Congress and make available to the public on 
the internet website of the Department of Health and Human Services a 
report based upon the evaluation under subsection

    (j)

    (2) , to include--
 ``

    (1) the impact of the program under this section on 
 homelessness and housing insecurity, substance use disorder and 
 drug deaths, incarceration, foster system involvement, and 
 other child and family outcomes as identified by the Assistant 
 Secretary for Planning and Evaluation of the Department of 
 Health and Human Services;
 ``

    (2) an analysis of which elements of the program should 
 be replicated and scaled by governmental or non-governmental 
 entities; and
 ``

    (3) such recommendations for legislation and 
 administrative action as the Secretary determines appropriate.
 ``
            (l) === Definitions. ===
-In this section:
 ``

    (1) The term `adverse childhood experience' means a 
 potentially traumatic experience that occurs in childhood and 
 can have a tremendous impact on the child's lifelong health and 
 opportunity outcomes, such as any of the following:
 ``
        (A) Abuse, such as any of the following:
 ``
            (i) Emotional and psychological abuse.
 ``
            (ii) Physical abuse.
 ``
            (iii) Sexual abuse.
 ``
        (B) Household challenges such as any of the 
 following:
 ``
            (i) A household member is treated 
 violently.
 ``
            (ii) A household member has a substance 
 use disorder.
 ``
            (iii) A household member has a mental 
 health condition.
 ``
            (iv) Parental separation or divorce.
 ``
            (v) A household member is incarcerated, 
 placed in immigrant detention, or has been 
 deported.
 ``
            (vi) A household member has a life-
 threatening illness such as COVID-19.
 ``
            (C) Neglect.
 ``
            (D) Living in--
 ``
            (i) impoverished communities that lack 
 access to human services;
 ``
            (ii) areas of high unemployment 
 neighborhoods; or
 ``
            (iii) communities experiencing de facto 
 segregation.
 ``
        (E) Experiencing food insecurity and poor 
 nutrition.
 ``
        (F) Witnessing violence.
 ``
        (G) Involvement with the foster system.
 ``
        (H) Experiencing discrimination.
 ``
            (I) Dealing with historical and ongoing traumas 
 due to systemic and interpersonal racism.
 ``
        (J) Dealing with historical and ongoing traumas 
 regarding systemic and interpersonal sexism, 
 homophobia, biphobia, and transphobia.
 ``
        (K) Dealing with the threat of deportation or 
 detention as a result of immigration status.
 ``
            (L) The impacts of multigenerational poverty 
 resulting from limited educational and economic 
 opportunities.
 ``
            (M) Living through natural disasters such as 
 earthquakes, forest fires, floods, or hurricanes.
 ``

    (2) The term `eligible entity' means a State or local 
 health department.
 ``

    (3) The term `practice of conversion therapy'--
 ``
        (A) means any practice or treatment by any person 
 that seeks to change another individual's sexual 
 orientation or gender identity, including efforts to 
 change behaviors or gender expressions, or to eliminate 
 or reduce sexual or romantic attractions or feelings 
 toward individuals of the same gender, if such person 
 receives monetary compensation in exchange for any such 
 practice or treatment; and
 ``
        (B) does not include any practice or treatment 
 that does not seek to change sexual orientation or 
 gender identity and--
 ``
            (i) provides assistance to an individual 
 undergoing a gender transition; or
 ``
            (ii) provides acceptance, support, and 
 understanding of a client or facilitation of a 
 client's coping, social support, and identity 
 exploration and development.
 ``
            (m) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section for the period of fiscal years 
2025 through 2032--
 ``

    (1) to carry out subsection

    (a)

    (1) through the award of 
 grants under subsection

    (b) --
 ``
        (A) $47,500,000 for grants; and
 ``
        (B) such sums as may be necessary for the 
 administrative costs of carrying out such subsection; 
 and
 ``

    (2) $7,500,000 to carry out the evaluation under 
 subsection

    (a)

    (2) .''.

SEC. 3. CARE COORDINATION GRANTS.

 Part E of title XII of the Public Health Service Act (42 U.S.C. 
300d-51 et seq.) is amended by adding at the end the following:

``

SEC. 1255. CARE COORDINATION GRANTS.

 ``

    (a) In General.--The Secretary shall award grants to eligible 
entities to establish or expand trauma-informed care coordination 
services to support--
 ``

    (1) children aged 0 through 5 at risk of adverse 
 childhood experiences; and
 ``

    (2) their caregivers, including prenatal people of any 
 age.
 ``

    (b) Number of Grants.--Subject to the availability of 
appropriations, the Secretary shall award not fewer than 9 and not more 
than 40 grants under this section.
 ``
            (c) Amount of Grants.--Subject to the availability of 
appropriations, the amount of a grant under this section for a fiscal 
year shall be--
 ``

    (1) not less than $250,000; and
 ``

    (2) not more than $1,000,000.
 ``
            (d) Eligible Entities.--To be eligible to receive a grant under 
this section, an entity shall be a local government or Indian Tribe, 
acting through the public health department thereof if such government 
or Tribe has a public health department.
 ``

    (e) Priority.--
 ``

    (1) In general.--In awarding grants under this section, 
 the Secretary shall give priority to eligible entities 
 proposing to serve communities with a high need for trauma-
 informed care coordination services, as demonstrated by 
 indicators such as--
 ``
        (A) pregnant people who face barriers to prenatal 
 care;
 ``
        (B) mortality or morbidity of people giving birth 
 or infants;
 ``
            (C) caretakers and parents who are living with a 
 mental health condition or substance use disorder;
 ``
            (D) a high prevalence of community violence, 
 including domestic violence, as demonstrated by 
 instances of homicide and public health statistics, 
 including treatment of injury or trauma;
 ``
        (E) high proportions of low-income children;
 ``
        (F) a high prevalence of child fatalities or near 
 fatalities related to child abuse and neglect;
 ``
        (G) significant disparities in health outcomes 
 for people giving birth and infants;
 ``
        (H) a high rate of exclusionary discipline and 
 referrals to law enforcement; and
 ``
            (I) a high rate of homelessness and housing 
 instability.
 ``

    (2) Data from tribal areas.--The Secretary, acting 
 through the Director of the Indian Health Service, shall 
 consult with Indian Tribes to establish criteria to measure 
 indicators of need, for purposes of paragraph

    (1) , with respect 
 to Tribal areas.
 ``

    (f) Use of Funds.--
 ``

    (1) Required uses.--
 ``
        (A) In general.--A grant received under this 
 section shall be used to establish or expand gender-
 responsive, culturally specific, trauma-informed care 
 coordination services, including by instituting and 
 conducting risk and needs assessments including--
 ``
            (i) using strengths-based approaches 
 focused on protective factors for children and 
 their caregivers, including prenatal people of 
 any age; and
 ``
            (ii) inputting screening results into a 
 centralized intake system to promote a single 
 point of access system across providers and 
 services.
 ``
        (B) Training.--A grant received under this 
 section shall be used to ensure that individuals 
 employed through the grant funds, in whole or in part, 
 have received sufficient and up-to-date training on 
 trauma-informed care and strategies that are 
 reparative, culturally sensitive, gender-responsive, 
 and healing-centered.
 ``

    (2) Permissible uses.--A grant received under this 
 section may be used for any of the following:
 ``
        (A) Employing care coordinators, case managers, 
 community health workers, certified infant mental 
 health specialists, and outreach and engagement 
 specialists to work with children and their caregivers, 
 including prenatal individuals, to prevent and respond 
 to adverse childhood experiences by connecting clients 
 with culturally specific, trauma-informed care 
 treatment services, including economic, social, food, 
 and housing supports.
 ``
        (B) Providing training described in paragraph

    (1)
        (B) to community health providers and community 
 partners.
 ``
            (C) Expanding, enhancing, modifying, and 
 connecting the existing network of community programs 
 and services to achieve a more comprehensive and 
 coordinated system of care approach, including--
 ``
            (i) developing local infrastructure to 
 bolster and shape community support systems and 
 map and build access to services in a 
 coordinated and comprehensive way; and
 ``
            (ii) creating infrastructure to conduct 
 outreach to children and families, including 
 those experiencing homelessness and housing 
 instability, so they acquire access to the 
 services and supports they need and the 
 benefits to which they are entitled.
 ``
            (D) Compiling information on resources (including 
 any referral services) available through community-
 based organizations and local, State, and Federal 
 agencies, such as--
 ``
            (i) programs addressing social 
 determinants of health, including--
 ``
            (I) emergency, temporary, and 
 long-term housing;
 ``
            (II) programs that offer free or 
 affordable and nutritious food;
 ``
            (III) vocational and workforce 
 development; and
 ``
            (IV) transportation supports;
 ``
            (ii) home visiting programs for new 
 parents and their infants;
 ``
            (iii) workforce development programs to 
 support caregivers in skill building;
 ``
            (iv) trauma-responsive, parenting skills-
 building programs;
 ``
            (v) the continuum of substance use 
 prevention, intervention, and treatment 
 programs and mental health support programs, 
 including programs with trauma-informed, 
 gender-responsive, and culturally specific 
 counseling; and
 ``
            (vi) childcare support and early 
 childhood education, including Head Start and 
 Early Head Start programs.
 ``
        (E) Subject to subsection

    (g)

    (2) , establishing or 
 updating a database that compiles data used to track 
 the effectiveness of the care coordination services 
 funded through the grant.
 ``
        (F) Developing and implementing referral 
 partnership agreements with community-based 
 organizations, parent organizations, substance use 
 disorder treatment providers and facilities, housing 
 and shelter providers, health care providers, mental 
 health care providers, and Federal and State offices 
 and programs that implement practices to support 
 children ages 0 through 5 who are at risk of adverse 
 childhood experiences and their caregivers, including 
 prenatal people. Such practices shall include--
 ``
            (i) a bilateral `warm handoff' system 
 whereby a grantee understands the needs of the 
 children and their families, and families are 
 involved in addressing these needs; and
 ``
            (ii) an active service connection whereby 
 the children and families are each actively 
 connected with a resource in a well-coordinated 
 way that ensures availability and direct 
 contact.
 ``
        (G) Supporting cross-system planning and 
 collaboration among employees who may work in emergency 
 medical services, health care services, public health, 
 early childhood education, and substance use disorder 
 treatment and recovery support.
 ``
        (H) Providing or subsidizing services to address 
 barriers that children, prenatal individuals, and 
 caregivers face to utilizing community resources and 
 services, such as by providing or subsidizing 
 transportation or childcare costs as applicable and 
 within reasonable amounts.
 ``
            (I) Creating or expanding infrastructure and 
 investing in technology, including the provision of 
 communications technology and internet service to 
 children and their caregivers, to enable increased 
 telemedicine capabilities to reach participants.
 ``

    (3) Indian tribes.--In the case of an eligible entity 
 that is an Indian tribe, the Secretary may waive such 
 provisions of this subsection as the Secretary determines 
 appropriate.
 ``

    (4) Prohibitions.--In addition to any other prohibitions 
 determined by the Secretary, an eligible entity may not use a 
 grant under this section to--
 ``
        (A) use data analysis methods to inform 
 individual case decisions, including child removal or 
 placement decisions, or to target services at certain 
 individuals or families;
 ``
        (B) require any individual or family to 
 participate in any service or program as a condition of 
 receipt of a benefit to which the individual or family 
 is otherwise eligible; or
 ``
            (C) increase the presence or funding of law 
 enforcement surveillance, involvement, or activity in 
 connection with trauma-informed care coordination 
 services supported pursuant to this section.
 ``

    (g) Requirements.--As a condition on receipt of a grant under 
this section, an eligible entity shall agree to each of the following 
funding conditions:
 ``

    (1) Restriction of funding allocation.--The eligible 
 entity will not use more than 30 percent of the funds made 
 available to the entity through the grant (for the total grant 
 period) to establish or update a database pursuant to 
 subsection

    (f)

    (2)
        (E) .
 ``

    (2) Accessible setting.--
 ``
        (A) In general.--The eligible entity will ensure 
 that all care coordination services provided through 
 the grant are provided in a setting that is accessible, 
 including through mobile settings, to--
 ``
            (i) low-income or no-income individuals, 
 including individuals experiencing homelessness 
 or housing instability; and
 ``
            (ii) individuals in rural areas.
 ``
        (B) Community outreach.--In complying with 
 subparagraph
        (A) , the eligible entity will ensure that 
 at least 50 percent of the care coordination services 
 provided through the grant occur in community settings 
 that are convenient to the children and caregivers who 
 are being served, such as homes, schools, and shelters, 
 whether for initial outreach or as part of long-term 
 care.
 ``

    (3) Supplement not supplant.--The grant will be used to 
 supplement not supplant other Federal, State, or local funds 
 available for care coordination services.
 ``

    (4) Confidentiality.--The eligible entity will maintain 
 the confidentiality of individuals receiving services through 
 the grant in a manner consistent with applicable law.
 ``

    (5) Partnering; risk stratification.--In providing care 
 coordination services through the grant, the eligible entity 
 will--
 ``
        (A) partner with community-based organizations 
 with experience serving child populations prenatally 
 through age 5;
 ``
        (B) coordinate with the local agency responsible 
 for administering the State plan approved under title 
 XIX of the Social Security Act; and
 ``
            (C) employ risk stratification to develop 
 different effective models of care for different 
 populations based on their needs.
 ``

    (h) Application.--
 ``

    (1) In general.--To seek a grant under this section, an 
 eligible entity shall submit an application to the Secretary at 
 such time, in such manner, and containing such information, as 
 the Secretary may require.
 ``

    (2) Contents.--An application under paragraph

    (1) shall, 
 at a minimum, contain each of the following:
 ``
        (A) Goals to be achieved through the grant, 
 including the activities that will be undertaken to 
 achieve those goals.
 ``
        (B) The number of individuals likely to be served 
 through the grant, including demographic data on the 
 populations to be served.
 ``
            (C) Existing programs and services that can be 
 used to significantly increase the proportion of 
 children and families who receive needed supports and 
 services.
 ``
            (D) A plan for expanding, coordinating, or 
 modifying the existing network of programs and services 
 to meet the needs of children and families for 
 preventing and mitigating the traumatic impact of 
 adverse childhood experiences.
 ``
        (E) A demonstration of the ability of the 
 eligible entity to reach the individuals to be served, 
 including by partnering with local stakeholders.
 ``
        (F) An indication of how the personnel involved 
 are reflective of the communities to be served.
 ``
        (G) A list of stakeholders with whom the entity 
 plans to partner or consult.
 ``
            (i) Reporting by Grantees.--Not later than 4 years after the date 
of enactment of this section, an eligible entity receiving a grant 
under this section shall submit to the Secretary a report on the 
activities funded through the grant. Such report shall include, at a 
minimum, a description of--
 ``

    (1) the number of individuals served through activities 
 funded through the grant, including demographics as applicable;
 ``

    (2) the number of referrals made through the grant and 
 the rate of such referrals successfully linked or closed;
 ``

    (3) a qualitative analysis or number of collaborative 
 partnerships with other organizations in carrying out the 
 activities funded through the grant;
 ``

    (4) the number of services provided to individuals 
 through the grant;
 ``

    (5) aggregated and de-identified outcomes experienced by 
 individuals served through the grant such as--
 ``
        (A) the rate of successful service connections;
 ``
        (B) any increases in development of protective 
 factors for children;
 ``
            (C) any increase in development of protective 
 factors for the caregivers;
 ``
            (D) any mitigation of the negative outcomes 
 associated with adverse childhood experiences or 
 decreased likelihood of children experiencing an 
 adverse childhood experience as evidenced by--
 ``
            (i) decreased presence of law enforcement 
 or other punitive State surveillance in the 
 community;
 ``
            (ii) a parent completing substance use 
 treatment;
 ``
            (iii) a parent receiving voluntary 
 treatment for mental health-related conditions;
 ``
            (iv) a family entering into or 
 maintaining a stable housing situation;
 ``
            (v) a family achieving or maintaining 
 economic security;
 ``
            (vi) a parent achieving or maintaining 
 job stability; or
 ``
            (vii) a child meeting developmental 
 markers for school readiness; and
 ``
        (E) reports of satisfaction with the coordination 
 of care by people served; and
 ``

    (6) any other information required by the Secretary.
 ``

    (j) Convening Participants for Sharing Lessons Learned.--After 
the period of all grants awarded under this section has concluded, the 
Assistant Secretary for Planning and Evaluation of the Department of 
Health and Human Services shall provide an in-person or online 
opportunity for persons participating in the programs funded through 
this section to share with each other--
 ``

    (1) lessons learned;
 ``

    (2) challenges experienced; and
 ``

    (3) ideas for next steps and solutions.
 ``

    (k) Compiling Findings and Conclusions.--After providing the 
opportunity required by subsection

    (j) , the Secretary shall--
 ``

    (1) compile the findings and conclusions of grantees 
 under this section on the provision of care coordination 
 services described in subsection

    (a) ;
 ``

    (2) submit a report on such findings and conclusions to 
 the appropriate congressional committees; and
 ``

    (3) make such report publicly available.
 ``
            (l) === Definitions. ===
-In this section:
 ``

    (1) Adverse childhood experience.--The term `adverse 
 childhood experience' means a potentially traumatic experience 
 that occurs in childhood and can have a tremendous impact on 
 the child's lifelong health and opportunity outcomes, such as 
 any of the following:
 ``
        (A) Abuse, such as any of the following:
 ``
            (i) Emotional and psychological abuse.
 ``
            (ii) Physical abuse.
 ``
            (iii) Sexual abuse.
 ``
        (B) Household challenges such as any of the 
 following:
 ``
            (i) A household member is treated 
 violently.
 ``
            (ii) A household member has a substance 
 use disorder.
 ``
            (iii) A household member has a mental 
 health condition.
 ``
            (iv) Parental separation or divorce.
 ``
            (v) A household member is incarcerated, 
 placed in immigrant detention, or has been 
 deported.
 ``
            (vi) A household member has a life-
 threatening illness such as COVID-19.
 ``
            (C) Neglect.
 ``
            (D) Living in--
 ``
            (i) impoverished communities that lack 
 access to human services;
 ``
            (ii) areas of high unemployment 
 neighborhoods; or
 ``
            (iii) communities experiencing de facto 
 segregation.
 ``
        (E) Experiencing food insecurity and poor 
 nutrition.
 ``
        (F) Witnessing violence.
 ``
        (G) Involvement with the foster system.
 ``
        (H) Experiencing discrimination.
 ``
            (I) Dealing with historical and ongoing traumas 
 due to systemic and interpersonal racism.
 ``
        (J) Dealing with historical and ongoing traumas 
 regarding systemic and interpersonal sexism, 
 homophobia, biphobia, and transphobia.
 ``
        (K) Dealing with the threat of deportation or 
 detention as a result of immigration status.
 ``
            (L) The impacts of multigenerational poverty 
 resulting from limited educational and economic 
 opportunities.
 ``
            (M) Living through natural disasters such as 
 earthquakes, forest fires, floods, or hurricanes.
 ``

    (2) Care coordination.--The term `care coordination' 
 means an active, ongoing process that--
 ``
        (A) assists children ages 0 through 5 at risk of, 
 or who have experienced, an adverse childhood 
 experience, and their caregivers, including prenatal 
 people of any age, to identify, access, and use 
 community resources and services;
 ``
        (B) is client-centered and comprehensive of the 
 services a child or caregiver may need;
 ``
            (C) ensures a closed loop referral by obtaining 
 feedback from the families served; and
 ``
            (D) works across systems and services to promote 
 collaboration to effectively meet the needs of 
 community members.
 ``

    (3) Indian tribe.--The term `Indian Tribe' has the 
 meaning given such term in 

section 4 of the Indian Self-
 Determination and Education Assistance Act.
 ``

    (4) Protective factors.--The term `protective factors' 
 refers to any supportive element in a child or caretaker's life 
 that helps the child or caretaker to withstand trauma such as a 
 stable school environment or supportive peer relationships.
 ``
            (m) Authorization of Appropriations.--
 ``

    (1) In general.--To carry out this section, there is 
 authorized to be appropriated $15,000,000 for each of the 5 
 fiscal years following the fiscal year in which this section is 
 enacted.
 ``

    (2) Grants to indian tribes.--Of the amount made 
 available to carry out this section for a fiscal year, the 
 Secretary shall use not less than 10 percent of such amount for 
 grants to eligible entities that are Indian tribes.
 ``

    (3) Administrative expenses.--Of the amount made 
 available to carry out this section for a fiscal year, the 
 Secretary may use not more than 15 percent of such amount for 
 administrative expenses, including the expenses of the 
 Assistant Secretary for Planning and Evaluation of the 
 Department of Health and Human Services for compiling and 
 reporting information.
 ``

    (4) Technical assistance.--Of the amount made available 
 to carry out this section for a fiscal year, the Secretary may 
 reserve up to 5 percent of such amount to provide technical 
 assistance to eligible entities in preparing and submitting 
 applications under this section.''.
 <all>