[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6625 Introduced in House (IH)]
<DOC>
119th CONGRESS
1st Session
H. R. 6625
To improve the identification and support of children and families who
experience trauma.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
December 11, 2025
Mr. Davis of Illinois (for himself and Mr. Steil) introduced the
following bill; which was referred to the Committee on Education and
Workforce, and in addition to the Committees on Energy and Commerce,
and the Judiciary, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To improve the identification and support of children and families who
experience trauma.
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 ``Resilience Investment, Support, and
Expansion from Trauma Act'' or the ``RISE from Trauma Act''.
TITLE I--COMMUNITY PROGRAMMING
SEC. 101. TRAUMA AND RESILIENCE-RELATED COORDINATING BODIES.
Title V of the Public Health Service Act is amended by inserting
after section 520C (42 U.S.C. 290bb-34) the following:
``SEC. 520D. LOCAL COORDINATING BODIES TO ADDRESS COMMUNITY TRAUMA,
PREVENTION, AND RESILIENCE.
``(a) Grants.--
``(1) In general.--The Secretary, in coordination with the
Director of the Centers for Disease Control and Prevention and
the Assistant Secretary, shall award grants to State, county,
local, or Indian tribe or tribal organizations (as such terms
are defined in section 4 of the Indian Self-Determination Act
and Education Assistance Act) or nonprofit private entities for
demonstration projects to enable such entities to act as
coordinating bodies to prevent or mitigate the impact of trauma
and toxic stress in a community, or promote resilience by
fostering protective factors.
``(2) Amount.--The Secretary shall award such grants in
amounts of not more than $6,000,000.
``(3) Duration.--The Secretary shall award such grants for
periods of 4 years.
``(b) Eligible Entities.--
``(1) In general.--To be eligible to receive a grant under
this section, an entity shall include 1 or more representatives
from at least 5 of the categories described in paragraph (2).
``(2) Composition.--The categories referred to in paragraph
(1) are--
``(A) governmental agencies, such as public health,
mental health, human services, or child welfare
agencies, that provide training related to covered
services or conduct activities to screen, assess,
provide services or referrals, prevent, or provide
treatment to support infants, children, youth, and
their families as appropriate, that have experienced or
are at risk of experiencing trauma;
``(B) faculty or qualified staff at an institution
of higher education (as defined in section 101(a) of
the Higher Education Act of 1965) or representatives of
a local member of the National Child Traumatic Stress
Network, in an area related to screening, assessment,
service provision or referral, prevention, or treatment
to support infants, children, youth, and their
families, as appropriate, that have experienced or are
at risk of experiencing trauma;
``(C) hospitals, health care clinics, or other
health care institutions, such as mental health and
substance use disorder treatment facilities;
``(D) criminal justice representatives related to
adults and juveniles, which may include law enforcement
or judicial or court employees;
``(E) local educational agencies (as defined in
section 8101 of the Elementary and Secondary Education
Act of 1965 (20 U.S.C. 7801)) or agencies responsible
for early childhood education programs, which may
include Head Start and Early Head Start agencies;
``(F) workforce development, job training, or
business associations;
``(G) nonprofit, community-based faith, human
services, civic, or social services organizations,
including participants in a national or community
service program (as described in section 122 of the
National and Community Service Act of 1990 (42 U.S.C.
12572)), providers of after-school programs, home
visiting programs, family resource centers, agencies
that serve victims of domestic and family violence or
child abuse, or programs to prevent or address the
impact of violence and addiction; and
``(H) the general public, including individuals who
have experienced trauma who can appropriately represent
populations and activities relevant to the community
that will be served by the entity.
``(3) Qualifications.--In order for an entity to be
eligible to receive the grant under this section, the
representatives included in the entity shall, collectively,
have training and expertise concerning childhood trauma,
resilience, and covered services.
``(c) Application.--To be eligible to receive a grant under this
section, an entity shall submit an application to the Secretary at such
time, in such manner, and containing such information as the Secretary
may require.
``(d) Priority.--In awarding grants under this section, the
Secretary shall give priority to entities proposing to serve
communities or populations that have faced or currently face high rates
of community trauma, including from intergenerational poverty, civil
unrest, discrimination, or oppression, which may include an evaluation
of--
``(1) an age-adjusted rate of drug overdose deaths that is
above the national overdose mortality rate, as determined by
the Director of the Centers for Disease Control and Prevention;
``(2) an age-adjusted rate of violence-related (or
intentional) injury deaths that is above the national average,
as determined by the Director of the Centers for Disease
Control and Prevention; and
``(3) a rate of involvement in the child welfare or
juvenile justice systems that is above the national average, as
determined by the Secretary.
``(e) Use of Funds.--An entity that receives a grant under this
section to act as a coordinating body may use the grant funds to--
``(1) bring together stakeholders who provide or use
services in, or have expertise concerning, covered settings to
identify community needs and resources related to covered
services, and to build on any needs assessments conducted by
organizations or groups represented on the coordinating body;
``(2)(A) collect data, on indicators to reflect local
priority issues, including across multiple covered settings and
disaggregated by age, race, and any other appropriate metrics;
and
``(B) use the data to identify unique community challenges
and barriers, community strengths and assets, gaps in services,
and high-need areas, related to covered services;
``(3) build awareness, skills, and leadership (including
through trauma-informed and resilience-focused training and
public outreach campaigns) on covered services in covered
settings;
``(4) develop a strategic plan, in partnership with members
of the served community or population, that identifies--
``(A) policy goals and coordination opportunities
to address community needs and local priority issues
(including coordination in applying for or utilizing
existing grants, insurance coverage, or other
government programs), including for communities of
color and relating to delivering and implementing
covered services; and
``(B) a comprehensive, integrated approach for the
entity and its members to prevent and mitigate the
impact of exposure to trauma or toxic stress in the
community, and to assist the community in healing from
existing and prior exposure to trauma through promotion
of resilience and fostering protective factors;
``(5) implement such strategic plans in the local
community, including through the delivery of covered services
in covered settings; and
``(6) identify funding sources and partner with community
stakeholders to sustainably continue activities after the end
of the grant period.
``(f) Supplement Not Supplant.--Amounts made available under this
section shall be used to supplement and not supplant other Federal,
State, and local public funds and private funds expended to provide
trauma-related coordination activities.
``(g) Evaluation.--At the end of the period for which grants are
awarded under this section, the Secretary shall conduct an evaluation
of the activities carried out under each grant under this section. In
conducting the evaluation, the Secretary shall assess the outcomes of
the grant activities carried out by each grant recipient, including
outcomes related to health, education, child welfare, criminal justice
involvement, or other measurable outcomes pertaining to wellbeing and
societal impact.
``(h) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $600,000,000 for each of fiscal
years 2026 through 2033.
``(i) Definitions.--In this section:
``(1) Covered services.--The term `covered services' means
culturally responsive services, programs, models, or
interventions that are evidence-based, evidence-informed, or
promising best practices to support infants, children, youth,
and their families as appropriate by preventing or mitigating
the impact of trauma and toxic stress or promoting resilience
by fostering protective factors, which may include the best
practices developed under section 7132(d) of the SUPPORT for
Patients and Communities Act (Public Law 115-271).
``(2) Covered setting.--The term `covered setting' means
the settings in which individuals may come into contact with
infants, children, youth, and their families, as appropriate,
who have experienced or are at risk of experiencing trauma,
including schools, hospitals, settings where health care
providers, including primary care and pediatric providers,
provide services, early childhood education and care settings,
home visiting settings, after-school program facilities, child
welfare agency facilities, public health agency facilities,
mental health treatment facilities, substance use disorder
treatment facilities, faith-based institutions, domestic
violence agencies, violence intervention organizations, child
advocacy centers, homeless services system facilities, refugee
services system facilities, juvenile justice system facilities,
law enforcement agency facilities, Healthy Marriage Promotion
or Responsible Fatherhood service settings, child support
service settings, and service settings focused on individuals
eligible for Temporary Assistance for Needy Families; and''.
SEC. 102. EXPANSION OF PERFORMANCE PARTNERSHIP PILOT FOR CHILDREN WHO
HAVE EXPERIENCED OR ARE AT RISK OF EXPERIENCING TRAUMA.
(a) In General.--Section 526 of the Departments of Labor, Health
and Human Services, and Education, and Related Agencies Appropriations
Act, 2014 (42 U.S.C. 12301 note) is amended--
(1) in subsection (a), by adding at the end the following:
``(4) `To improve outcomes for infants, children, and
youth, and their families as appropriate, who have experienced
or are at risk of experiencing trauma' means to increase the
rate at which individuals who have experienced or are at risk
of experiencing trauma, including those who are low-income,
homeless, involved with the child welfare system, involved in
the juvenile justice system, have been victims of violence
(including community, family, or sexual violence), unemployed,
or not enrolled in or at risk of dropping out of an educational
institution and live in a community that has faced acute or
long-term exposure to substantial discrimination, historical
oppression, intergenerational poverty, civil unrest, a high
rate of violence or drug overdose deaths, achieve success in
meeting educational, employment, health, developmental,
community reentry, permanency from foster care, or other key
goals.'';
(2) in subsection (b)--
(A) in the subsection heading, by striking ``Fiscal
Year 2014'' and inserting ``Fiscal Years 2026 Through
2030'';
(B) by redesignating paragraphs (1) and (2) as
subparagraphs (A) and (B), respectively, and by moving
such subparagraphs, as so redesignated, 2 ems to the
right;
(C) by striking ``Federal agencies'' and inserting
the following:
``(1) Disconnected youth pilots.--Federal agencies''; and
(D) by adding at the end the following:
``(2) Trauma-informed care pilots.--Federal agencies may
use Federal discretionary funds that are made available in this
Act or any appropriations Act, including across different or
multiple years, for any of fiscal years 2026 through 2030 to
carry out up to 10 Performance Partnership Pilots. Such Pilots
shall--
``(A) be designed to improve outcomes for infants,
children, and youth, and their families as appropriate,
who have experienced or are at risk of experiencing
trauma; and
``(B) involve Federal programs targeted on infants,
children, and youth, and their families as appropriate,
who have experienced or are at risk of experiencing
trauma.'';
(3) in subsection (c)(2)--
(A) in subparagraph (A), by striking ``2018'' and
inserting ``2029''; and
(B) in subparagraph (F), by inserting before the
semicolon ``, including the age range for such
population''; and
(4) in subsection (e), by striking ``2018'' and inserting
``2029''.
(b) Requirement.--Not later than 9 months after the date of
enactment of this Act, the Director of the Office of Management and
Budget, working with the Attorney General and the Secretary of Labor,
Secretary of Health and Human Services, Secretary of Education, and
Secretary of Housing and Urban Development, and any other appropriate
agency representative, shall, with respect to carrying out this
section--
(1) explore authorities to enable the issuance of
appropriate start-up funding;
(2) issue guidance documents, template waivers and
performance measurements, best practices and lessons learned
from prior pilot programs, recommendations for how to sustain
projects after award periods, and other technical assistance
documents as needed; and
(3) align application timing periods to provide maximum
flexibility, which may include the availability of initial
planning periods for awardees.
SEC. 103. HOSPITAL-BASED INTERVENTIONS TO REDUCE READMISSIONS.
Section 393 of the Public Health Service Act (42 U.S.C. 280b-1a) is
amended by adding at the end the following:
``(c) Hospital-Based Interventions To Reduce Readmissions.--
``(1) Grants.--The Secretary shall award grants to eligible
entities to deliver and evaluate hospital-based interventions
to improve outcomes and reduce subsequent reinjury or
readmissions of patients that present at a hospital after
overdosing, attempting suicide, or suffering violent injury or
abuse.
``(2) Eligible entities.--To be eligible to receive a grant
under this subsection and entity shall--
``(A) be a hospital or health system (including
health systems operated by Indian tribes or tribal
organizations as such terms are defined in section 4 of
the Indian Self-Determination Act and Education
Assistance Act); and
``(B) submit to the Secretary an application at
such time, in such manner, and containing such
information as the Secretary may require, which shall
include demonstrated experience furnishing successful
hospital-based trauma interventions to improve outcomes
and prevent reinjury or readmission for patients
presenting after overdosing, attempting suicide, or
suffering violent injury or abuse.
``(3) Use of funds.--An entity shall use amounts received
under a grant under this subsection to deliver, test, and
evaluate hospital-based trauma-informed interventions for
patients who present at hospitals with drug overdoses, suicide
attempts, or violent injuries (such as domestic violence or
intentional penetrating wounds, including gunshots and
stabbings), or other presenting symptoms associated with
exposure to trauma, violence, substance misuse, or suicidal
ideation, to provide comprehensive education, screening,
counseling, discharge planning, skills building, and long-term
case management services to such individuals, and their
guardians or caregivers as appropriate, to prevent hospital
readmission, injury, and improve health, wellness, and safety
outcomes. Such interventions may be furnished in coordination
or partnership with qualified community-based organizations and
may include or incorporate the best practices developed under
section 7132(d) of the SUPPORT for Patients and Communities Act
(Public Law 115-271).
``(4) Quality