[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>