RISE from Trauma Act

II 117TH CONGRESS 1ST SESSION S. 2086 To improve the identification and support of children and families who experience trauma. IN THE SENATE OF THE UNITED STATES JUNE 16, 2021 Mr. DURBIN (for himself, Mrs. CAPITO, Ms. DUCKWORTH, and Ms. MUR- KOWSKI) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To improve the identification and support of children and families who experience trauma. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Resilience Investment, 4 Support, and Expansion from Trauma Act’’ or the ‘‘RISE 5 from Trauma Act’’. 6 VerDate Sep 11 2014 00:42 Jul 03, 2021 Jkt 019200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S2086.IS S2086 SSpencer on DSK126QN23PROD with BILLS 2 •S 2086 IS TITLE I—COMMUNITY 1 PROGRAMMING 2 SEC. 101. TRAUMA AND RESILIENCE-RELATED COORDI- 3 NATING BODIES. 4 Title V of the Public Health Service Act is amended 5 by inserting after section 520A (42 U.S.C. 290bb-32) the 6 following: 7 ‘‘SEC. 520B. LOCAL COORDINATING BODIES TO ADDRESS 8 COMMUNITY TRAUMA, PREVENTION, AND RE- 9 SILIENCE. 10 ‘‘(a) GRANTS.— 11 ‘‘(1) IN GENERAL.—The Secretary, in coordina- 12 tion with the Director of the Centers for Disease 13 Control and Prevention and the Assistant Secretary, 14 shall award grants to State, county, local, or Indian 15 tribe or tribal organizations (as such terms are de- 16 fined in section 4 of the Indian Self-Determination 17 Act and Education Assistance Act) or nonprofit pri- 18 vate entities for demonstration projects to enable 19 such entities to act as coordinating bodies to prevent 20 or mitigate the impact of trauma and toxic stress in 21 a community, or promote resilience by fostering pro- 22 tective factors. 23 ‘‘(2) AMOUNT.—The Secretary shall award such 24 grants in amounts of not more than $6,000,000. 25 VerDate Sep 11 2014 00:42 Jul 03, 2021 Jkt 019200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S2086.IS S2086 SSpencer on DSK126QN23PROD with BILLS 3 •S 2086 IS ‘‘(3) DURATION.—The Secretary shall award 1 such grants for periods of 4 years. 2 ‘‘(b) ELIGIBLE ENTITIES.— 3 ‘‘(1) IN GENERAL.—To be eligible to receive a 4 grant under this section, an entity shall include 1 or 5 more representatives from at least 5 of the cat- 6 egories described in paragraph (2). 7 ‘‘(2) COMPOSITION.—The categories referred to 8 in paragraph (1) are— 9 ‘‘(A) governmental agencies, such as public 10 health, mental health, human services, or child 11 welfare agencies, that provide training related 12 to covered services or conduct activities to 13 screen, assess, provide services or referrals, pre- 14 vent, or provide treatment to support infants, 15 children, youth, and their families as appro- 16 priate, that have experienced or are at risk of 17 experiencing trauma; 18 ‘‘(B) faculty or qualified staff at an insti- 19 tution of higher education (as defined in section 20 101(a) of the Higher Education Act of 1965) 21 or representatives of a local member of the Na- 22 tional Child Traumatic Stress Network, in an 23 area related to screening, assessment, service 24 provision or referral, prevention, or treatment 25 VerDate Sep 11 2014 00:42 Jul 03, 2021 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S2086.IS S2086 SSpencer on DSK126QN23PROD with BILLS 4 •S 2086 IS to support infants, children, youth, and their 1 families, as appropriate, that have experienced 2 or are at risk of experiencing trauma; 3 ‘‘(C) hospitals, health care clinics, or other 4 health care institutions, such as mental health 5 and substance use disorder treatment facilities; 6 ‘‘(D) criminal justice representatives re- 7 lated to adults and juveniles, which may include 8 law enforcement or judicial or court employees; 9 ‘‘(E) local educational agencies (as defined 10 in section 8101 of the Elementary and Sec- 11 ondary Education Act of 1965 (20 U.S.C. 12 7801)) or agencies responsible for early child- 13 hood education programs, which may include 14 Head Start and Early Head Start agencies; 15 ‘‘(F) workforce development, job training, 16 or business associations; 17 ‘‘(G) nonprofit, community-based faith, 18 human services, civic, or social services organi- 19 zations, including participants in a national or 20 community service program (as described in 21 section 122 of the National and Community 22 Service Act of 1990 (42 U.S.C. 12572)), pro- 23 viders of after-school programs, home visiting 24 programs, family resource centers, agencies 25 VerDate Sep 11 2014 00:42 Jul 03, 2021 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S2086.IS S2086 SSpencer on DSK126QN23PROD with BILLS 5 •S 2086 IS that serve victims of domestic and family vio- 1 lence or child abuse, or programs to prevent or 2 address the impact of violence and addiction; 3 and 4 ‘‘(H) the general public, including individ- 5 uals who have experienced trauma who can ap- 6 propriately represent populations and activities 7 relevant to the community that will be served 8 by the entity. 9 ‘‘(3) QUALIFICATIONS.—In order for an entity 10 to be eligible to receive the grant under this section, 11 the representatives included in the entity shall, col- 12 lectively, have training and expertise concerning 13 childhood trauma, resilience, and covered services. 14 ‘‘(c) APPLICATION.—To be eligible to receive a grant 15 under this section, an entity shall submit an application 16 to the Secretary at such time, in such manner, and con- 17 taining such information as the Secretary may require. 18 ‘‘(d) PRIORITY.—In awarding grants under this sec- 19 tion, the Secretary shall give priority to entities proposing 20 to serve communities or populations that have faced or 21 currently face high rates of community trauma, including 22 from intergenerational poverty, civil unrest, discrimina- 23 tion, or oppression, which may include an evaluation of— 24 VerDate Sep 11 2014 00:42 Jul 03, 2021 Jkt 019200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S2086.IS S2086 SSpencer on DSK126QN23PROD with BILLS 6 •S 2086 IS ‘‘(1) an age-adjusted rate of drug overdose 1 deaths that is above the national overdose mortality 2 rate, as determined by the Director of the Centers 3 for Disease Control and Prevention; 4 ‘‘(2) an age-adjusted rate of violence-related (or 5 intentional) injury deaths that is above the national 6 average, as determined by the Director of the Cen- 7 ters for Disease Control and Prevention; and 8 ‘‘(3) a rate of involvement in the child welfare 9 or juvenile justice systems that is above the national 10 average, as determined by the Secretary. 11 ‘‘(e) USE OF FUNDS.—An entity that receives a grant 12 under this section to act as a coordinating body may use 13 the grant funds to— 14 ‘‘(1) bring together stakeholders who provide or 15 use services in, or have expertise concerning, covered 16 settings to identify community needs and resources 17 related to covered services, and to build on any 18 needs assessments conducted by organizations or 19 groups represented on the coordinating body; 20 ‘‘(2)(A) collect data, on indicators to reflect 21 local priority issues, including across multiple cov- 22 ered settings and disaggregated by age, race, and 23 any other appropriate metrics; and 24 VerDate Sep 11 2014 00:42 Jul 03, 2021 Jkt 019200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\S2086.IS S2086 SSpencer on DSK126QN23PROD with BILLS 7 •S 2086 IS ‘‘(B) use the data to identify unique community 1 challenges and barriers, community strengths and 2 assets, gaps in services, and high-need areas, related 3 to covered services; 4 ‘‘(3) build awareness, skills, and leadership (in- 5 cluding through trauma-informed and resilience-fo- 6 cused training and public outreach campaigns) on 7 covered services in covered settings; 8 ‘‘(4) develop a strategic plan, in partnership 9 with members of the served community or popu- 10 lation, that identifies— 11 ‘‘(A) policy goals and coordination oppor- 12 tunities to address community needs and local 13 priority issues (including coordination in apply- 14 ing for or utilizing existing grants, insurance 15 coverage, or other government programs), in- 16 cluding for communities of color and relating to 17 delivering and implementing covered services; 18 and 19 ‘‘(B) a comprehensive, integrated approach 20 for the entity and its members to prevent and 21 mitigate the impact of exposure to trauma or 22 toxic stress in the community, and to assist the 23 community in healing from existing and prior 24 VerDate Sep 11 2014 00:42 Jul 03, 2021 Jkt 019200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\S2086.IS S2086 SSpencer on DSK126QN23PROD with BILLS 8 •S 2086 IS exposure to trauma through promotion of resil- 1 ience and fostering protective factors; 2 ‘‘(5) implement such strategic plans in the local 3 community, including through the delivery of covered 4 services in covered settings; and 5 ‘‘(6) identify funding sources and partner with 6 community stakeholders to sustainably continue ac- 7 tivities after the end of the grant period. 8 ‘‘(f) SUPPLEMENT NOT SUPPLANT.—Amounts made 9 available under this section shall be used to supplement 10 and not supplant other Federal, State, and local public 11 funds and private funds expended to provide trauma-re- 12 lated coordination activities. 13 ‘‘(g) EVALUATION.—At the end of the period for 14 which grants are awarded under this section, the Sec- 15 retary shall conduct an evaluation of the activities carried 16 out under each grant under this section. In conducting 17 the evaluation, the Secretary shall assess the outcomes of 18 the grant activities carried out by each grant recipient, 19 including outcomes related to health, education, child wel- 20 fare, criminal justice involvement, or other measurable 21 outcomes pertaining to wellbeing and societal impact. 22 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 23 is authorized to be appropriated to carry out this section 24 $600,000,000 for each of fiscal years 2022 through 2029. 25 VerDate Sep 11 2014 00:42 Jul 03, 2021 Jkt 019200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\S2086.IS S2086 SSpencer on DSK126QN23PROD with BILLS 9 •S 2086 IS ‘‘(i) DEFINITIONS.—In this section: 1 ‘‘(1) COVERED SERVICES.—The term ‘covered 2 services’ means culturally responsive services, pro- 3 grams, models, or interventions that are evidence- 4 based, evidence-informed, or promising best prac- 5 tices to support infants, children, youth, and their 6 families as appropriate by preventing or mitigating 7 the impact of trauma and toxic stress or promoting 8 resilience by fostering protective factors, which may 9 include the best practices developed under section 10 7132(d) of the SUPPORT for Patients and Commu- 11 nities Act (Public Law 115–271). 12 ‘‘(2) COVERED SETTING.—The term ‘covered 13 setting’ means the settings in which individuals may 14 come into contact with infants, children, youth, and 15 their families, as appropriate, who have experienced 16 or are at risk of experiencing trauma, including 17 schools, hospitals, settings where health care pro- 18 viders, including primary care and pediatric pro- 19 viders, provide services, early childhood education 20 and care settings, home visiting settings, after-school 21 program facilities, child welfare agency facilities, 22 public health agency facilities, mental health treat- 23 ment facilities, substance use disorder treatment fa- 24 cilities, faith-based institutions, domestic violence 25 VerDate Sep 11 2014 00:42 Jul 03, 2021 Jkt 019200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\S2086.IS S2086 SSpencer on DSK126QN23PROD with BILLS 10 •S 2086 IS agencies, violence intervention organizations, child 1 advocacy centers, homeless services system facilities, 2 refugee services system facilities, juvenile justice sys- 3 tem facilities, law enforcement agency facilities, 4 Healthy Marriage Promotion or Responsible Father- 5 hood service settings, child support service settings, 6 and service settings focused on individuals eligible 7 for Temporary Assistance for Needy Families; and’’. 8 SEC. 102. EXPANSION OF PERFORMANCE PARTNERSHIP 9 PILOT FOR CHILDREN WHO HAVE EXPERI- 10 ENCED OR ARE AT RISK OF EXPERIENCING 11 TRAUMA. 12 (a) IN GENERAL.—Section 526 of the Departments 13 of Labor, Health and Human Services, and Education, 14 and Related Agencies Appropriations Act, 2014 (42 15 U.S.C. 12301 note ) is amended— 16 (1) in subsection (a), by adding at the end the 17 following: 18 ‘‘(4) ‘To improve outcomes for infants, children, 19 and youth, and their families as appropriate, who 20 have experienced or are at risk of experiencing trau- 21 ma’ means to increase the rate at which individuals 22 who have experienced or are at risk of experiencing 23 trauma, including those who are low-income, home- 24 less, involved with the child welfare system, involved 25 VerDate Sep 11 2014 00:42 Jul 03, 2021 Jkt 019200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\S2086.IS S2086 SSpencer on DSK126QN23PROD with BILLS 11 •S 2086 IS in the juvenile justice system, have been victims of 1 violence (including community, family, or sexual vio- 2 lence), unemployed, or not enrolled in or at risk of 3 dropping out of an educational institution and live in 4 a community that has faced acute or long-term expo- 5 sure to substantial discrimination, historical oppres- 6 sion, intergenerational poverty, civil unrest, a high 7 rate of violence or drug overdose deaths, achieve suc- 8 cess in meeting educational, employment, health, de- 9 velopmental, community reentry, permanency from 10 foster care, or other key goals.’’; 11 (2) in subsection (b)— 12 (A) in the subsection heading, by striking 13 ‘‘FISCAL YEAR 2014’’ and inserting ‘‘FISCAL 14 YEARS 2022 THROUGH 2026’’; 15 (B) by redesignating paragraphs (1) and 16 (2) as subparagraphs (A) and (B), respectively, 17 and by moving such subparagraphs, as so re- 18 designated, 2 ems to the right; 19 (C) by striking ‘‘Federal agencies’’ and in- 20 serting the following: 21 ‘‘(1) DISCONNECTED YOUTH PILOTS.—Federal 22 agencies’’; and 23 (D) by adding at the end the following: 24 VerDate Sep 11 2014 00:42 Jul 03, 2021 Jkt 019200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6201 E:\BILLS\S2086.IS S2086 SSpencer on DSK126QN23PROD with BILLS 12 •S 2086 IS ‘‘(2) TRAUMA-INFORMED CARE PILOTS.—Fed- 1 eral agencies may use Federal discretionary funds 2 that are made available in this Act or any appropria- 3 tions Act, including across different or multiple 4 years, for any of fiscal years 2022 through 2026 to 5 carry out up to 10 Performance Partnership Pilots. 6 Su [Text truncated for display. Full text available on Congress.gov.]