[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 1543 Reported in Senate (RS)]

<DOC>





                                                       Calendar No. 127
117th CONGRESS
  1st Session
                                S. 1543

  To amend the Public Health Service Act to provide best practices on 
 student suicide awareness and prevention training and condition State 
     educational agencies, local educational agencies, and tribal 
educational agencies receiving funds under section 520A of such Act to 
 establish and implement a school-based student suicide awareness and 
                      prevention training policy.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 10, 2021

 Ms. Hassan (for herself, Ms. Ernst, Mr. Blumenthal, Mrs. Capito, Mr. 
 Coons, Mr. Cornyn, Mr. Markey, Mrs. Shaheen, Mr. Tillis, Mr. Murphy, 
Mr. Braun, Mr. King, Mr. Padilla, Ms. Stabenow, Ms. Baldwin, Mr. Lujan, 
and Ms. Murkowski) introduced the following bill; which was read twice 
and referred to the Committee on Health, Education, Labor, and Pensions

                           September 21, 2021

               Reported by Mrs. Murray, with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL


 
  To amend the Public Health Service Act to provide best practices on 
 student suicide awareness and prevention training and condition State 
     educational agencies, local educational agencies, and tribal 
educational agencies receiving funds under section 520A of such Act to 
 establish and implement a school-based student suicide awareness and 
                      prevention training policy.

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

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Suicide Training and 
Awareness Nationally Delivered for Universal Prevention Act of 2021'' 
or the ``STANDUP Act of 2021''.</DELETED>

<DELETED>SEC. 2. FINDINGS.</DELETED>

<DELETED>    The Congress finds as follows:</DELETED>
        <DELETED>    (1) Since 2010, suicide has been the second-
        leading cause of death for young people ages 10 through 24. In 
        2019, 6,488 young people ages 10-24 died by suicide.</DELETED>
        <DELETED>    (2) Based on the 2019 Youth Risk Behavior Survey 
        of the Centers for Disease Control and Prevention (in this 
        section referred to as ``CDC''), 8.9 percent of youth in grades 
        9-12 reported that they made at least one suicide attempt 
        during the 12 months before the survey.</DELETED>
        <DELETED>    (3) While there is no complete count of suicide 
        attempts in the United States, CDC data suggests that for every 
        reported death by suicide among people ages 10 through 24, 
        approximately 33.5 young people visit a hospital for self-harm 
        related injuries.</DELETED>
        <DELETED>    (4) In 2019, suicide was the tenth-leading cause 
        of death overall in the United States, with over 47,500 people 
        dying by suicide, and there were more than twice as many 
        suicides in the United States as there were 
        homicides.</DELETED>
        <DELETED>    (5) Youth often display warning signs and signals 
        before harming themselves or others. Research shows that 70 
        percent of those who die by suicide tell someone of their plans 
        or give another warning sign.</DELETED>
        <DELETED>    (6) According to the CDC, the rates of suicide 
        among non-Hispanic American Indians and Alaska Natives were 60 
        percent greater than the general population in 2019 and are the 
        highest of any racial or ethnic group in the United States. In 
        addition, a study of CDC data from 2001 through 2015 shows that 
        suicide rates for Black children ages 5 through 12 were roughly 
        2 times higher than those of similarly aged White 
        children.</DELETED>

<DELETED>SEC. 3. STUDENT SUICIDE AWARENESS AND PREVENTION 
              TRAINING.</DELETED>

<DELETED>    (a) In General.--Title V of the Public Health Service Act 
is amended by inserting after section 520A of such Act (42 U.S.C. 
290bb-32) the following:</DELETED>

<DELETED>``SEC. 520B. STUDENT SUICIDE AWARENESS AND PREVENTION TRAINING 
              POLICIES.</DELETED>

<DELETED>    ``(a) In General.--As a condition on receipt of funds 
under section 520A, each State educational agency, local educational 
agency, and tribal educational agency that receives such funds, 
directly or through a State or Indian Tribe, for activities to be 
performed in schools with respect to grades 6 through 12, including the 
Project AWARE State Education Agency Grant Program, shall--</DELETED>
        <DELETED>    ``(1) establish and implement a school-based 
        student suicide awareness and prevention training 
        policy;</DELETED>
        <DELETED>    ``(2) consult with stakeholders (including 
        principals, teachers, parents, local tribal officials, and 
        other school leaders) in the development of the policy under 
        subsection (a)(1); and</DELETED>
        <DELETED>    ``(3) collect and report information in accordance 
        with subsection (c).</DELETED>
<DELETED>    ``(b) School-Based Student Suicide Awareness and 
Prevention Training Policy.--A school-based student suicide awareness 
and prevention training policy implemented pursuant to subsection (a)--
</DELETED>
        <DELETED>    ``(1) shall be evidence-based;</DELETED>
        <DELETED>    ``(2) shall be culturally and linguistically 
        appropriate;</DELETED>
        <DELETED>    ``(3) shall provide evidence-based training to 
        students in grades 6 through 12, using school-based mental 
        health service providers, if such providers are reasonably 
        available, regarding--</DELETED>
                <DELETED>    ``(A) suicide education and awareness, 
                including warning signs for suicide and self-
                harm;</DELETED>
                <DELETED>    ``(B) methods that students can use to 
                seek help for themselves and others; and</DELETED>
                <DELETED>    ``(C) student resources for suicide 
                awareness and prevention;</DELETED>
        <DELETED>    ``(4) shall provide for retraining of such 
        students every school year;</DELETED>
        <DELETED>    ``(5) may last for such period as the State 
        educational agency, local educational agency, or tribal 
        educational agency involved determines to be 
        appropriate;</DELETED>
        <DELETED>    ``(6) may be implemented through any delivery 
        method, including in-person trainings, digital trainings, or 
        train-the-trainer models; and</DELETED>
        <DELETED>    ``(7) may include discussion of comorbidities and 
        risk factors for suicidal ideation or self-harm, including 
        substance misuse, sexual, or physical abuse, mental illness, 
        and other evidence-based comorbidities or risk 
        factors.</DELETED>
<DELETED>    ``(c) Collection of Information and Reporting.--Each State 
educational agency, local educational agency, and tribal educational 
agency that receives funds under section 520A shall, with respect to 
each school served by the agency, collect and report to the Secretary 
the following information:</DELETED>
        <DELETED>    ``(1) The number of student trainings 
        conducted.</DELETED>
        <DELETED>    ``(2) The number of students trained, 
        disaggregated by age and grade level.</DELETED>
        <DELETED>    ``(3) The number of help-seeking reports made by 
        students after implementation of such policy.</DELETED>
<DELETED>    ``(d) Evidence-Based Program Listing.--The Secretary, in 
consultation with the Secretary of Education, shall make publicly 
available the policies established by State educational agencies, local 
educational agencies, and tribal educational agencies pursuant to this 
section and the training that is available to students and teams 
pursuant to such policies, including identification of whether such 
training is available to trainees at no cost.</DELETED>
<DELETED>    ``(e) Implementation Timeline.--A State educational 
agency, local educational agency, or tribal educational agency shall 
establish and begin implementation of the policies required by 
subsection (a)(1) not later than the beginning of the third fiscal year 
following the date of enactment of this section for which the agency 
receives funds under section 520A.</DELETED>
<DELETED>    ``(f) Definitions.--In this section:</DELETED>
        <DELETED>    ``(1) The term `evidence-based' has the meaning 
        given to such term in section 8101 of the Elementary and 
        Secondary Education Act of 1965.</DELETED>
        <DELETED>    ``(2) The term `local education agency' has the 
        meaning given to such term in section 8101 of the Elementary 
        and Secondary Education Act of 1965.</DELETED>
        <DELETED>    ``(3) The term `school-based mental health service 
        provider' has the meaning given to such term in section 4102(6) 
        of the Elementary and Secondary Education Act of 
        1965.</DELETED>
        <DELETED>    ``(4) The term `State educational agency' has the 
        meaning given to such term in section 8101 of the Elementary 
        and Secondary Education Act of 1965.</DELETED>
        <DELETED>    ``(5) The term `tribal educational agency' has the 
        meaning given to such term in section 6132 of the Elementary 
        and Secondary Education Act of 1965.</DELETED>

<DELETED>``SEC. 520B-1. BEST PRACTICES FOR STUDENT SUICIDE AWARENESS 
              AND PREVENTION TRAINING.</DELETED>

<DELETED>    ``The Secretary, acting through the Assistant Secretary, 
in consultation with the Secretary of Education and the Bureau of 
Indian Education, shall--</DELETED>
        <DELETED>    ``(1) publish best practices for school-based 
        student suicide awareness and prevention training, pursuant to 
        section 520B, that are based on--</DELETED>
                <DELETED>    ``(A) evidence-based practices; 
                and</DELETED>
                <DELETED>    ``(B) input from relevant Federal 
                agencies, national organizations, Indian tribes and 
                tribal organizations, and related 
                stakeholders;</DELETED>
        <DELETED>    ``(2) publish guidance, based on the best 
        practices under paragraph (1), to provide State educational 
        agencies, local educational agencies, and tribal educational 
        agencies with information on student suicide awareness and 
        prevention best practices;</DELETED>
        <DELETED>    ``(3) disseminate such best practices to State 
        educational agencies, local educational agencies, and tribal 
        educational agencies; and</DELETED>
        <DELETED>    ``(4) provide technical assistance to State 
        educational agencies, local educational agencies, and tribal 
        educational agencies.''.</DELETED>

<DELETED>SEC. 4. EFFECTIVE DATE.</DELETED>

<DELETED>    The amendments made by this Act shall only apply with 
respect to applications for assistance under section 520A of the Public 
Health Service Act (42 U.S.C. 290bb-32) that are submitted after the 
date of enactment of this Act.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Suicide Training and Awareness 
Nationally Delivered for Universal Prevention Act of 2021'' or the 
``STANDUP Act of 2021''.

SEC. 2. STUDENT SUICIDE AWARENESS AND PREVENTION TRAINING.

    (a) In General.--Title V of the Public Health Service Act is 
amended by inserting after section 520A of such Act (42 U.S.C. 290bb-
32) the following:

``SEC. 520B. STUDENT SUICIDE AWARENESS AND PREVENTION TRAINING.

    ``(a) In General.--In awarding funds under section 520A, the 
Secretary shall give priority to applications under such section from a 
State educational agency, local educational agency, or Tribal 
educational agency, submitted directly or through a State or Indian 
Tribe, for funding for activities in secondary schools, where such 
agency has implemented, or includes in such application a plan to 
implement, a student suicide awareness and prevention training policy, 
which may include applicable youth suicide early intervention and 
prevention strategies implemented through section 520E--
            ``(1) establishing and implementing a school-based student 
        suicide awareness and prevention training policy in accordance 
        with subsection (c);
            ``(2) consulting with stakeholders (including principals, 
        teachers, parents, local Tribal officials, and other relevant 
        experts) and, as appropriate, utilizing information, models, 
        and other resources made available by the Suicide Prevention 
        Technical Assistance Center authorized under section 520C in 
        the development of the policy under paragraph (1); and
            ``(3) collecting and reporting information in accordance 
        with subsection (d).
    ``(b) Consideration.--In giving priority to applicants as described 
in subsection (a), the Secretary shall, as appropriate, take into 
consideration the incidence and prevalence of suicide in the applicable 
jurisdiction and the costs of establishing and implementing, as 
applicable, a school-based student suicide awareness and prevention 
training policy.
    ``(c) School-Based Student Suicide Awareness and Prevention 
Training Policy.--A school-based student suicide awareness and 
prevention training policy implemented pursuant to subsection (a)(1) 
shall--
            ``(1) be evidence-based;
            ``(2) be culturally- and linguistically-appropriate;
            ``(3) provide evidence-based training to students in grades 
        6 through 12, in coordination with school-based mental health 
        resources, as applicable, regarding--
                    ``(A) suicide prevention education and awareness, 
                including associated risk factors;
                    ``(B) methods that students can use to seek help; 
                and
                    ``(C) student resources for suicide awareness and 
                prevention; and
            ``(4) provide for periodic retraining of such students.
    ``(d) Collection of Information and Reporting.--Each State 
educational agency, local educational agency, and Tribal educational 
agency that receives priority to implement a new training policy 
pursuant to subsection (a)(1) shall report to the Secretary the 
following aggregated information, in a manner that protects personal 
privacy, consistent with applicable Federal and State privacy laws:
            ``(1) The number of trainings conducted, including the 
        number of student trainings conducted, and the training 
        delivery method used.
            ``(2) The number of students trained, disaggregated by age 
        and grade level.
            ``(3) The number of help-seeking reports made by students 
        after implementation of such policy.
    ``(e) Evidence-Based Program Availability.--The Secretary shall 
coordinate with the Secretary of Education and the Secretary of the 
Interior to--
            ``(1) make publicly available the policies established by 
        State educational agencies, local educational agencies, and 
        Tribal educational agencies pursuant to this section and the 
        training that is available to students and teams pursuant to 
        such policies, in accordance with section 543A; and
            ``(2) provide technical assistance and disseminate best 
        practices on student suicide awareness and prevention training 
        policies, including through the Suicide Prevention Technical 
        Assistance Center authorized under section 520C, as applicable, 
        to State educational agencies, local educational agencies, and 
        Tribal agencies.
    ``(f) Implementation.--Not later than September 30, 2024, the 
Secretary shall report to the Committee on Health, Education, Labor, 
and Pensions of the Senate and the Committee on Energy and Commerce of 
the House of Representatives the number of recipients of funds under 
section 520A who have implemented training policies described in 
subsection (a)(1) and a summary of the information received under 
subsection (d).
    ``(g) Definitions.--In this section:
            ``(1) The term `evidence-based' has the meaning given such 
        term in section 8101 of the Elementary and Secondary Education 
        Act of 1965.
            ``(2) The term `local educational agency' has the meaning 
        given to such term in section 8101 of the Elementary and 
        Secondary Education Act of 1965.
            ``(3) The term `State educational agency' has the meaning 
        given to such term in section 8101 of the Elementary and 
        Secondary Education Act of 1965.
            ``(4) The term `Tribal educational agency' has the meaning 
        given to the term `tribal educational agency' in section 6132 
        of the Elementary and Secondary Education Act of 1965.''.

SEC. 3. EFFECTIVE DATE.

    The amendment made by this Act shall apply only with respect to 
applications for assistance under section 520A of the Public Health 
Service Act (42 U.S.C. 290bb-32) that are submitted after the date of 
enactment of this Act.
                                                       Calendar No. 127

117th CONGRESS

  1st Session

                                S. 1543

_______________________________________________________________________

                                 A BILL

  To amend the Public Health Service Act to provide best practices on 
 student suicide awareness and prevention training and condition State 
     educational agencies, local educational agencies, and tribal 
educational agencies receiving funds under section 520A of such Act to 
 establish and implement a school-based student suicide awareness and 
                      prevention training policy.

_______________________________________________________________________

                           September 21, 2021

                       Reported with an amendment