[Congressional Record Volume 167, Number 82 (Wednesday, May 12, 2021)]
[House]
[Pages H2235-H2246]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




           MOTION TO SUSPEND THE RULES AND PASS CERTAIN BILLS

  Mr. HOYER. Mr. Speaker, pursuant to section 6 of House Resolution 
380, I move to suspend the rules and pass H.R. 297, H.R. 433, H.R. 478, 
H.R. 586, H.R. 721, H.R. 768, H.R. 810, H.R. 1205, H.R. 1260, H.R. 
1324, H.R. 1448, H.R. 1475, H.R. 1480, H.R. 2862, H.R. 2955, and H.R. 
2981.
  The other suspension bills, either a vote was not requested or, 
alternatively, one bill, for which a problem has arisen, we have pulled 
that. Hopefully, we will consider that tomorrow under suspension.
  The Clerk read the title of the bills.
  The text of the bills are as follows:


                      Hawaii National Forest Study

                                H.R. 297

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

     SECTION 1. HAWAII NATIONAL FOREST STUDY.

       (a) Definitions.--In this section:
       (1) Secretary.--The term ``Secretary'' means the Secretary 
     of Agriculture, acting through the Chief of the Forest 
     Service.
       (2) Study area.--The term ``study area'' means the islands 
     of Hawaii, Maui, Molokai, Lanai, Oahu, and Kauai in the State 
     of Hawaii.
       (b) Study.--
       (1) In general.--The Secretary shall conduct a study--
       (A) to determine the suitability and feasibility of 
     establishing a unit of the National Forest System in the 
     study area; and
       (B) to identify available land within the study area that 
     could be included in the unit described in subparagraph (A).
       (2) Coordination and consultation.--In conducting the study 
     under paragraph (1), the Secretary shall--
       (A) coordinate with the Hawaii Department of Land and 
     Natural Resources; and
       (B) consult with the Hawaii Department of Agriculture and 
     other interested governmental entities, private and nonprofit 
     organizations, and any interested individuals.
       (3) Contents.--In conducting the study under paragraph (1), 
     the Secretary shall--
       (A) consider unique vegetation types that occur in the 
     study area and that should be targeted for inclusion in the 
     unit of the National Forest System described in paragraph 
     (1)(A);
       (B) evaluate the ability of the Secretary--
       (i) to improve and protect forest areas within the study 
     area; and
       (ii) to secure favorable water flows within the study area;
       (C) determine whether the unit of the National Forest 
     System described in paragraph (1)(A) would expand, enhance, 
     or duplicate--
       (i) resource protection; and
       (ii) visitor-use opportunities;
       (D) consider parcels of an appropriate size or location to 
     be capable of economical administration as part of the 
     National Forest System separately or jointly with the other 
     land identified under paragraph (1)(B);
       (E) evaluate the willingness of landowners to sell or 
     transfer land in the study area to the Secretary;
       (F) evaluate the suitability of land in the study area for 
     potential selection and designation as a research natural 
     area or an experimental forest;
       (G) identify cost estimates for any Federal acquisition, 
     development, operation, and maintenance that would be needed 
     to establish the unit of the National Forest System described 
     in paragraph (1)(A); and
       (H) consider other alternatives for the conservation, 
     protection, and use of areas within the study area by the 
     Federal Government, State or local government entities, or 
     private and nonprofit organizations.
       (c) Effect.--Nothing in this section authorizes the 
     Secretary to take any action that would affect the use of any 
     land owned by the United States or not owned by the United 
     States.
       (d) Report.--Not later than 3 years after the date of 
     enactment of this Act, the Secretary shall submit to the 
     Committee on Energy and Natural Resources of the Senate and 
     the Committee on Natural Resources of the House of 
     Representatives a report that describes--
       (1) the results of the study; and
       (2) any conclusions and recommendations of the Secretary.


           Family Support Services for Addiction Act of 2021

                                H.R. 433

       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 ``Family Support Services for 
     Addiction Act of 2021''.

     SEC. 2. FAMILY SUPPORT SERVICES FOR INDIVIDUALS STRUGGLING 
                   WITH SUBSTANCE USE DISORDER.

       Part D of title V of the Public Health Service Act (42 
     U.S.C. 290dd et seq.) is amended by adding at the end the 
     following:

     ``SEC. 553. FAMILY SUPPORT SERVICES FOR INDIVIDUALS 
                   STRUGGLING WITH SUBSTANCE USE DISORDER.

       ``(a) Definitions.--In this section--
       ``(1) the term `family community organization' means an 
     independent nonprofit organization that--
       ``(A) mobilizes resources within and outside of the 
     community of families with individuals living with addiction, 
     to provide a support network, education, and evidence-
     informed tools for families and loved ones of individuals 
     struggling with substance use disorders; and
       ``(B) is governed by experts in the field of addiction, 
     which may include--
       ``(i) experts in evidence-informed interventions for family 
     members;
       ``(ii) experts in the impact of addiction on family 
     systems;
       ``(iii) families who have experience with substance use 
     disorders and addiction; and
       ``(iv) other experts in the field of addiction; and
       ``(2) the term `family support services' means resources or 
     programs that support families that include an individual 
     with substance use disorder.
       ``(b) Grants Authorized.--The Secretary shall award grants 
     to family community organizations to enable such 
     organizations to develop, expand, and enhance evidence-
     informed family support services.
       ``(c) Federal Share.--The Federal share of the costs of a 
     program funded by a grant under this section may not exceed 
     85 percent.
       ``(d) Use of Funds.--Grants awarded under subsection (b)--
       ``(1) shall be used to develop, expand, and enhance 
     community and statewide evidence-informed family support 
     services; and
       ``(2) may be used to--
       ``(A) build connections between family support networks, 
     including providing technical assistance between family 
     community organizations and peer support networks, and with 
     other family support services, focused on enhancing knowledge 
     of evidence-informed interventions for family members and 
     loved ones of individuals living with substance use disorders 
     and reducing harm by educating service providers on current 
     evidence regarding addiction and the family, including--
       ``(i) behavioral health providers, including such providers 
     focused specifically on family and couples therapy in the 
     context of addiction;
       ``(ii) primary care providers;
       ``(iii) providers of foster care services or support 
     services for grandparents, guardians, and other extended 
     family impacted by addiction; and
       ``(iv) other family support services that connect to 
     community resources for individuals with substance use 
     disorders, including non-clinical community services;
       ``(B) reduce stigma associated with the family of 
     individuals with substance use disorders by improving 
     knowledge about addiction and its treatment, providing 
     compassionate support, and dispelling myths that perpetuate 
     such stigma;
       ``(C) conduct outreach on issues relating to substance use 
     disorders and family support, which may include education, 
     training, and resources with respect to--
       ``(i) building a resilience- and strengths-based approach 
     to prevention of, and living with, addiction in the family;
       ``(ii) identifying the signs of substance use disorder;

[[Page H2236]]

       ``(iii) adopting an approach that minimizes harm to all 
     family members; and
       ``(iv) families of individuals with a substance use 
     disorder, including with respect to--

       ``(I) navigating the treatment and recovery systems;
       ``(II) paying for addiction treatment;
       ``(III) education about substance use disorder; and
       ``(IV) avoiding predatory treatment programs; and

       ``(D) connect families to evidence-informed peer support 
     programs.
       ``(e) Data Reporting and Program Oversight.--With respect 
     to a grant awarded under subsection (a), not later than 90 
     days after the end of the first year of the grant period, and 
     annually thereafter for the duration of the grant period, the 
     entity shall submit data, as appropriate and to the extent 
     practicable, to the Secretary regarding--
       ``(1) the programs and activities funded by the grant;
       ``(2) health outcomes of the population of individuals with 
     a substance use disorder who received services through 
     programs supported by the grant, as evaluated by an 
     independent program evaluator through the use of outcomes 
     measures, as determined by the Secretary; and
       ``(3) any other information that the secretary may require 
     for the purpose of ensuring that the grant recipient is 
     complying with all the requirements of the grant.
       ``(f) Authorization of Appropriations.--There is authorized 
     to be appropriated to carry out this section $5,000,000 for 
     each of fiscal years 2022 through 2026.''.


               Blackwater Trading Post Land Transfer Act

                                H.R. 478

       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 ``Blackwater Trading Post Land 
     Transfer Act''.

     SEC. 2. DEFINITIONS.

       In this Act:
       (1) Blackwater trading post land.--The term ``Blackwater 
     Trading Post Land'' means the approximately 55.3 acres of 
     land as depicted on the map that--
       (A) is located in Pinal County, Arizona, and bordered by 
     Community land to the east, west, and north and State Highway 
     87 to the south; and
       (B) is owned by the Community.
       (2) Community.--The term ``Community'' means the Gila River 
     Indian Community of the Reservation.
       (3) Map.--The term ``map'' means the map entitled ``Results 
     of Survey, Ellis Property, A Portion of the West \1/2\ of 
     Section 12, Township 5 South, Range 7 East, Gila and Salt 
     River Meridian, Pinal County, Arizona'' and dated October 15, 
     2012.
       (4) Reservation.--The term ``Reservation'' means the land 
     located within the exterior boundaries of the reservation 
     created under sections 3 and 4 of the Act of February 28, 
     1859 (11 Stat. 401, chapter LXVI), and Executive orders of 
     August 31, 1876, June 14, 1879, May 5, 1882, November 15, 
     1883, July 31, 1911, June 2, 1913, August 27, 1914, and July 
     19, 1915, and any other lands placed in trust for the benefit 
     of the Community.
       (5) Secretary.--The term ``Secretary'' means the Secretary 
     of the Interior.

     SEC. 3. LAND TAKEN INTO TRUST FOR BENEFIT OF THE GILA RIVER 
                   INDIAN COMMUNITY.

       (a) In General.--The Secretary shall take the Blackwater 
     Trading Post land into trust for the benefit of the 
     Community, after the Community--
       (1) conveys to the Secretary all right, title, and interest 
     of the Community in and to the Blackwater Trading Post Land;
       (2) submits to the Secretary a request to take the 
     Blackwater Trading Post Land into trust for the benefit of 
     the Community;
       (3) conducts a survey (to the satisfaction of the 
     Secretary) to determine the exact acreage and legal 
     description of the Blackwater Trading Post Land, if the 
     Secretary determines a survey is necessary; and
       (4) pays all costs of any survey conducted under paragraph 
     (3).
       (b) Availability of Map.--Not later than 180 days after the 
     Blackwater Trading Post Land is taken into trust under 
     subsection (a), the map shall be on file and available for 
     public inspection in the appropriate offices of the 
     Secretary.
       (c) Lands Taken Into Trust Part of Reservation.--After the 
     date on which the Blackwater Trading Post Land is taken into 
     trust under subsection (a), the land shall be treated as part 
     of the Reservation.
       (d) Gaming.--Class II and class III gaming under the Indian 
     Gaming Regulatory Act (25 U.S.C. 2701 et seq.) shall not be 
     allowed at any time on the land taken into trust under 
     subsection (a).
       (e) Description.--Not later than 180 days after the date of 
     enactment of this Act, the Secretary shall cause the full 
     metes-and-bounds description of the Blackwater Trading Post 
     Land to be published in the Federal Register. The description 
     shall, on publication, constitute the official description of 
     the Blackwater Trading Post Land.


   Suicide Training and Awareness Nationally Delivered for Universal 
                         Prevention Act of 2021

                                H.R. 586

       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 ``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 POLICIES.

       ``(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 within secondary 
     schools, including the Project AWARE State Education Agency 
     Grant Program, shall--
       ``(1) establish and implement a school-based student 
     suicide awareness and prevention training policy;
       ``(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
       ``(3) collect and report information in accordance with 
     subsection (c).
       ``(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)--
       ``(1) shall be evidence-based;
       ``(2) shall be culturally and linguistically appropriate;
       ``(3) shall provide evidence-based training to students in 
     grades 6 through 12, in coordination with school-based mental 
     health service providers as defined in section 4102(6) of the 
     Elementary and Secondary Education Act of 1965, if 
     applicable, regarding--
       ``(A) suicide education and awareness, including warning 
     signs of self-harm or suicidal ideation;
       ``(B) methods that students can use to seek help for 
     themselves and others; and
       ``(C) student resources for suicide awareness and 
     prevention;
       ``(4) shall provide for retraining of such students every 
     school year;
       ``(5) may last for such period as the State educational 
     agency, local educational agency, or Tribal educational 
     agency involved determines to be appropriate;
       ``(6) may be implemented through any delivery method, 
     including in-person trainings, digital trainings, or train-
     the-trainer models; and
       ``(7) may include discussion of comorbidities or risk 
     factors for suicidal ideation or self-harm, including 
     substance misuse, sexual or physical abuse, mental illness, 
     or other evidence-based comorbidities and risk factors.
       ``(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:
       ``(1) The number of student trainings conducted.
       ``(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.
       ``(d) Evidence-Based Program Listing.--The Secretary of 
     Health and Human Services shall coordinate with the Secretary 
     of Education to 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.
       ``(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.
       ``(f) Definitions.--In this section and section 520B-1:
       ``(1) The term `evidence-based' has the meaning given to 
     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. 520B-1. BEST PRACTICES FOR STUDENT SUICIDE AWARENESS 
                   AND PREVENTION TRAINING.

       ``The Secretary of Health and Human Services, in 
     consultation with the Secretary of Education and the Bureau 
     of Indian Education, shall--

[[Page H2237]]

       ``(1) publish best practices for school-based student 
     suicide awareness and prevention training, pursuant to 
     section 520B, that are based on--
       ``(A) evidence-based practices; and
       ``(B) input from relevant Federal agencies, national 
     organizations, Indian Tribes and Tribal organizations, and 
     related stakeholders;
       ``(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;
       ``(3) disseminate such best practices to State educational 
     agencies, local educational agencies, and Tribal educational 
     agencies; and
       ``(4) provide technical assistance to State educational 
     agencies, local educational agencies, and Tribal educational 
     agencies.''.

     SEC. 3. EFFECTIVE DATE.

       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.


            Mental Health Services for Students Act of 2021

                                H.R. 721

       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 ``Mental Health Services for 
     Students Act of 2021''.

     SEC. 2. AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT.

       (a) Technical Amendments.--The second part G (relating to 
     services provided through religious organizations) of title V 
     of the Public Health Service Act (42 U.S.C. 290kk et seq.) is 
     amended--
       (1) by redesignating such part as part J; and
       (2) by redesignating sections 581 through 584 as sections 
     596 through 596C, respectively.
       (b) School-Based Mental Health and Children.--Section 581 
     of the Public Health Service Act (42 U.S.C. 290hh) (relating 
     to children and violence) is amended to read as follows:

     ``SEC. 581. SCHOOL-BASED MENTAL HEALTH; CHILDREN AND 
                   ADOLESCENTS.

       ``(a) In General.--The Secretary, in consultation with the 
     Secretary of Education, shall, through grants, contracts, or 
     cooperative agreements awarded to eligible entities described 
     in subsection (c), provide comprehensive school-based mental 
     health services and supports to assist children in local 
     communities and schools (including schools funded by the 
     Bureau of Indian Education) dealing with traumatic 
     experiences, grief, bereavement, risk of suicide, and 
     violence. Such services and supports shall be--
       ``(1) developmentally, linguistically, and culturally 
     appropriate;
       ``(2) trauma-informed; and
       ``(3) incorporate positive behavioral interventions and 
     supports.
       ``(b) Activities.--Grants, contracts, or cooperative 
     agreements awarded under subsection (a), shall, as 
     appropriate, be used for--
       ``(1) implementation of school and community-based mental 
     health programs that--
       ``(A) build awareness of individual trauma and the 
     intergenerational, continuum of impacts of trauma on 
     populations;
       ``(B) train appropriate staff to identify, and screen for, 
     signs of trauma exposure, mental health disorders, or risk of 
     suicide; and
       ``(C) incorporate positive behavioral interventions, family 
     engagement, student treatment, and multigenerational supports 
     to foster the health and development of children, prevent 
     mental health disorders, and ameliorate the impact of trauma;
       ``(2) technical assistance to local communities with 
     respect to the development of programs described in paragraph 
     (1);
       ``(3) facilitating community partnerships among families, 
     students, law enforcement agencies, education agencies, 
     mental health and substance use disorder service systems, 
     family-based mental health service systems, child welfare 
     agencies, health care providers (including primary care 
     physicians, mental health professionals, and other 
     professionals who specialize in children's mental health such 
     as child and adolescent psychiatrists), institutions of 
     higher education, faith-based programs, trauma networks, and 
     other community-based systems to address child and adolescent 
     trauma, mental health issues, and violence; and
       ``(4) establishing mechanisms for children and adolescents 
     to report incidents of violence or plans by other children, 
     adolescents, or adults to commit violence.
       ``(c) Requirements.--
       ``(1) In general.--To be eligible for a grant, contract, or 
     cooperative agreement under subsection (a), an entity shall 
     be a partnership that includes--
       ``(A) a State educational agency, as defined in section 
     8101 of the Elementary and Secondary Education Act of 1965, 
     in coordination with one or more local educational agencies, 
     as defined in section 8101 of the Elementary and Secondary 
     Education Act of 1965, or a consortium of any entities 
     described in subparagraph (B), (C), (D), or (E) of section 
     8101(30) of such Act; and
       ``(B) at least 1 community-based mental health provider, 
     including a public or private mental health entity, health 
     care entity, family-based mental health entity, trauma 
     network, or other community-based entity, as determined by 
     the Secretary (and which may include additional entities such 
     as a human services agency, law enforcement or juvenile 
     justice entity, child welfare agency, agency, an institution 
     of higher education, or another entity, as determined by the 
     Secretary).
       ``(2) Compliance with hipaa.--Any patient records developed 
     by covered entities through activities under the grant shall 
     meet the regulations promulgated under section 264(c) of the 
     Health Insurance Portability and Accountability Act of 1996.
       ``(3) Compliance with ferpa.--Section 444 of the General 
     Education Provisions Act (commonly known as the `Family 
     Educational Rights and Privacy Act of 1974') shall apply to 
     any entity that is a member of the partnership in the same 
     manner that such section applies to an educational agency or 
     institution (as that term is defined in such section).
       ``(d) Geographical Distribution.--The Secretary shall 
     ensure that grants, contracts, or cooperative agreements 
     under subsection (a) will be distributed equitably among the 
     regions of the country and among urban and rural areas.
       ``(e) Duration of Awards.--With respect to a grant, 
     contract, or cooperative agreement under subsection (a), the 
     period during which payments under such an award will be made 
     to the recipient shall be 5 years, with options for renewal.
       ``(f) Evaluation and Measures of Outcomes.--
       ``(1) Development of process.--The Assistant Secretary 
     shall develop a fiscally appropriate process for evaluating 
     activities carried out under this section. Such process shall 
     include--
       ``(A) the development of guidelines for the submission of 
     program data by grant, contract, or cooperative agreement 
     recipients;
       ``(B) the development of measures of outcomes (in 
     accordance with paragraph (2)) to be applied by such 
     recipients in evaluating programs carried out under this 
     section; and
       ``(C) the submission of annual reports by such recipients 
     concerning the effectiveness of programs carried out under 
     this section.
       ``(2) Measures of outcomes.--The Assistant Secretary shall 
     develop measures of outcomes to be applied by recipients of 
     assistance under this section to evaluate the effectiveness 
     of programs carried out under this section, including 
     outcomes related to the student, family, and local 
     educational systems supported by this Act.
       ``(3) Submission of annual data.--An eligible entity 
     described in subsection (c) that receives a grant, contract, 
     or cooperative agreement under this section shall annually 
     submit to the Assistant Secretary a report that includes data 
     to evaluate the success of the program carried out by the 
     entity based on whether such program is achieving the 
     purposes of the program. Such reports shall utilize the 
     measures of outcomes under paragraph (2) in a reasonable 
     manner to demonstrate the progress of the program in 
     achieving such purposes.
       ``(4) Evaluation by assistant secretary.--Based on the data 
     submitted under paragraph (3), the Assistant Secretary shall 
     annually submit to Congress a report concerning the results 
     and effectiveness of the programs carried out with assistance 
     received under this section.
       ``(5) Limitation.--An eligible entity shall use not more 
     than 20 percent of amounts received under a grant under this 
     section to carry out evaluation activities under this 
     subsection.
       ``(g) Information and Education.--The Secretary shall 
     disseminate best practices based on the findings of the 
     knowledge development and application under this section.
       ``(h) Amount of Grants and Authorization of 
     Appropriations.--
       ``(1) Amount of grants.--A grant under this section shall 
     be in an amount that is not more than $2,000,000 for each of 
     the first 5 fiscal years following the date of enactment of 
     the Mental Health Services for Students Act of 2021. The 
     Secretary shall determine the amount of each such grant based 
     on the population of children up to age 21 of the area to be 
     served under the grant.
       ``(2) Authorization of appropriations.--There is authorized 
     to be appropriated to carry out this section, $130,000,000 
     for each of fiscal years 2022 through 2025.''.
       (c) Conforming Amendment.--Part G of title V of the Public 
     Health Service Act (42 U.S.C. 290hh et seq.), as amended by 
     subsection (b), is further amended by striking the part 
     designation and heading and inserting the following:

                ``PART G--SCHOOL-BASED MENTAL HEALTH''.

      Block, Report, And Suspend Suspicious Shipments Act of 2021

                                H.R. 768

       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 ``Block, Report, And Suspend 
     Suspicious Shipments Act of 2021''.

     SEC. 2. CLARIFICATION OF PROCESS FOR REGISTRANTS TO EXERCISE 
                   DUE DILIGENCE UPON DISCOVERING A SUSPICIOUS 
                   ORDER.

       (a) In General.--Paragraph (3) of section 312(a) of the 
     Controlled Substances Act (21 U.S.C. 832(a)) is amended to 
     read as follows:

[[Page H2238]]

       ``(3) upon discovering a suspicious order or series of 
     orders--
       ``(A) exercise due diligence;
       ``(B) establish and maintain (for not less than a period to 
     be determined by the Administrator of the Drug Enforcement 
     Administration) a record of the due diligence that was 
     performed;
       ``(C) decline to fill the order or series of orders if the 
     due diligence fails to resolve all of the indicators that 
     gave rise to the suspicion that filling the order or series 
     of orders would cause a violation of this title by the 
     registrant or the prospective purchaser; and
       ``(D) notify the Administrator of the Drug Enforcement 
     Administration and the Special Agent in Charge of the 
     Division Office of the Drug Enforcement Administration for 
     the area in which the registrant is located or conducts 
     business of--
       ``(i) each suspicious order or series of orders discovered 
     by the registrant; and
       ``(ii) the indicators giving rise to the suspicion that 
     filling the order or series of orders would cause a violation 
     of this title by the registrant or the prospective 
     purchaser.''.
       (b) Regulations.--Not later than 1 year after the date of 
     enactment of this Act, for purposes of section 312(a)(3) of 
     the Controlled Substances Act, as amended by subsection (a), 
     the Attorney General of the United States shall promulgate a 
     final regulation specifying the indicators that give rise to 
     a suspicion that filling an order or series of orders would 
     cause a violation of the Controlled Substances Act (21 U.S.C. 
     801 et seq.) by a registrant or a prospective purchaser.
       (c) Applicability.--Section 312(a)(3) of the Controlled 
     Substances Act, as amended by subsection (a), shall apply 
     beginning on the day that is 1 year after the date of 
     enactment of this Act. Until such day, section 312(a)(3) of 
     the Controlled Substances Act shall apply as such section 
     312(a)(3) was in effect on the day before the date of 
     enactment of this Act.

     SEC. 3. DETERMINATION OF BUDGETARY EFFECTS.

       The budgetary effects of this Act, for the purpose of 
     complying with the Statutory Pay-As-You-Go Act of 2010, shall 
     be determined by reference to the latest statement titled 
     ``Budgetary Effects of PAYGO Legislation'' for this Act, 
     submitted for printing in the Congressional Record by the 
     Chairman of the House Budget Committee, provided that such 
     statement has been submitted prior to the vote on passage.


     Chief Standing Bear National Historic Trail Feasibility Study

                                H.R. 810

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

     SECTION 1. CHIEF STANDING BEAR NATIONAL HISTORIC TRAIL 
                   FEASIBILITY STUDY.

       Section 5(c) of the National Trails System Act (16 U.S.C. 
     1244(c)) is amended by adding at the end the following:
       ``(xx) Chief standing bear national historic trail.--The 
     Chief Standing Bear Trail, extending approximately 550 miles 
     from Niobrara, Nebraska, to Ponca City, Oklahoma, which 
     follows the route taken by Chief Standing Bear and the Ponca 
     people during Federal Indian removal, and approximately 550 
     miles from Ponca City, Oklahoma, through Omaha, Nebraska, to 
     Niobrara, Nebraska, which follows the return route taken by 
     Chief Standing Bear and the Ponca people.''.

  Improving Mental Health Access from the Emergency Department Act of 
                                  2021

                               H.R. 1205

       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 ``Improving Mental Health 
     Access from the Emergency Department Act of 2021''.

     SEC. 2. SECURING APPROPRIATE FOLLOW-ON CARE FOR ACUTE MENTAL 
                   HEALTH ILLNESS AFTER AN EMERGENCY DEPARTMENT 
                   ENCOUNTER.

       The Public Health Service Act is amended by inserting after 
     section 520J of such Act (42 U.S.C. 290bb-31) the following 
     new section:

     ``SEC. 520J-1. SECURING APPROPRIATE FOLLOW-ON CARE FOR ACUTE 
                   MENTAL HEALTH ILLNESS AFTER AN EMERGENCY 
                   DEPARTMENT ENCOUNTER.

       ``(a) In General.--The Secretary may award grants on a 
     competitive basis to qualifying health providers to implement 
     innovative approaches to securing prompt access to 
     appropriate follow-on care for individuals who experience an 
     acute mental health episode and present for care in an 
     emergency department.
       ``(b) Eligible Grant Recipients.--In this section, the term 
     `qualifying health provider' means a health care facility 
     licensed under applicable law that--
       ``(1) has an emergency department;
       ``(2) is staffed by medical personnel (such as emergency 
     physicians, psychiatrists, psychiatric registered nurses, 
     mental health technicians, clinical social workers, 
     psychologists, and therapists) capable of providing treatment 
     focused on stabilizing acute mental health conditions and 
     assisting patients to access resources to continue treatment 
     in the least restrictive appropriate setting; and
       ``(3) has arrangements in place with other providers of 
     care that can provide a full range of medically appropriate, 
     evidence-based services for the treatment of acute mental 
     health episodes.
       ``(c) Use of Funds.--A qualifying health provider receiving 
     funds under this section shall use such funds to create, 
     support, or expand programs or projects intended to assist 
     individuals who are treated at the provider's emergency 
     department for acute mental health episodes and to 
     expeditiously transition such individuals to an appropriate 
     facility or setting for follow-on care. Such use of funds may 
     support the following:
       ``(1) Expediting placement in appropriate facilities 
     through activities such as expanded coordination with 
     regional service providers, assessment, peer navigators, bed 
     availability tracking and management, transfer protocol 
     development, networking infrastructure development, and 
     transportation services.
       ``(2) Increasing the supply of inpatient psychiatric beds 
     and alternative care settings such as regional emergency 
     psychiatric facilities.
       ``(3) Use of alternative approaches to providing 
     psychiatric care in the emergency department setting, 
     including through tele-psychiatric support and other remote 
     psychiatric consultation, implementation of peak period 
     crisis clinics, or creation of psychiatric emergency service 
     units.
       ``(4) Use of approaches that include proactive followup 
     such as telephone check-ins, telemedicine, or other 
     technology-based outreach to individuals during the period of 
     transition.
       ``(5) Such other activities as are determined by the 
     Secretary to be appropriate, consistent with subsection (a).
       ``(d) Application.--A qualifying health provider desiring a 
     grant under this section shall prepare and submit an 
     application to the Secretary at such time and in such manner 
     as the Secretary may require. At a minimum, the application 
     shall include the following:
       ``(1) A description of identified need for acute mental 
     health services in the provider's service area.
       ``(2) A description of the existing efforts of the provider 
     to meet the need for acute mental health services in the 
     service area, and identified gaps in the provision of such 
     services.
       ``(3) A description of the proposed use of funds to meet 
     the need and gaps identified pursuant to paragraph (2).
       ``(4) A description of how the provider will coordinate 
     efforts with Federal, State, local, and private entities 
     within the service area.
       ``(5) A description of program objectives, how the 
     objectives are proposed to be met, and how the provider will 
     evaluate outcomes relative to objectives.
       ``(e) Authorization of Appropriations.--To carry out this 
     section, there is authorized to be appropriated $15,000,000 
     for each of fiscal years 2022 through 2026.''.

          Bipartisan Solution to Cyclical Violence Act of 2021

                               H.R. 1260

       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 ``Bipartisan Solution to 
     Cyclical Violence Act of 2021''.

     SEC. 2. GRANT PROGRAM SUPPORTING TRAUMA CENTER VIOLENCE 
                   INTERVENTION AND VIOLENCE PREVENTION PROGRAMS.

       Part P of title III of the Public Health Service Act (42 
     U.S.C. 280g et seq.) is amended by adding at the end the 
     following new section:

     ``SEC. 399V-7. GRANT PROGRAM SUPPORTING TRAUMA CENTER 
                   VIOLENCE INTERVENTION AND VIOLENCE PREVENTION 
                   PROGRAMS.

       ``(a) Authority Established.--
       ``(1) In general.--The Secretary shall award grants to 
     eligible entities to establish or expand violence 
     intervention or prevention programs for services and research 
     designed to reduce the incidence of reinjury and 
     reincarceration caused by intentional violent trauma, 
     excluding intimate partner violence.
       ``(2) First award.--Not later than 9 months after the date 
     of enactment of this section, the Secretary shall make the 
     first award under paragraph (1).
       ``(3) Grant duration.--Each grant awarded under paragraph 
     (1) shall be for a period of three years.
       ``(4) Grant amount.--The total amount of each grant awarded 
     under paragraph (1) for the 3-year grant period shall be not 
     less than $250,000 and not more than $500,000.
       ``(5) Supplement not supplant.--A grant awarded under 
     paragraph (1) to an eligible entity with an existing program 
     described in paragraph (1) shall be used to supplement, and 
     not supplant, any other funds provided to such entity for 
     such program.
       ``(b) Eligible Entities.--To be eligible to receive a grant 
     under subsection (a)(1), an entity shall--
       ``(1) either be--
       ``(A) a State-designated trauma center, or a trauma center 
     verified by the American College of Surgeons, that conducts 
     or seeks to conduct a violence intervention or violence 
     prevention program; or
       ``(B) a nonprofit entity that conducts or seeks to conduct 
     a program described in subparagraph (A) in cooperation with a 
     trauma center described in such subparagraph;

[[Page H2239]]

       ``(2) serve a community in which at least 100 incidents of 
     intentional violent trauma occur annually; and
       ``(3) submit to the Secretary an application at such time, 
     in such manner, and containing such information as the 
     Secretary may require.
       ``(c) Selection of Grant Recipients.--
       ``(1) Geographic diversity.--In selecting grant recipients 
     under subsection (a)(1), the Secretary shall ensure that 
     collectively grantees represent a diversity of geographic 
     areas.
       ``(2) Priority.--In selecting grant recipients under 
     subsection (a)(1), the Secretary shall prioritize applicants 
     that serve one or more communities with high absolute numbers 
     or high rates of intentional violent trauma.
       ``(3) Health professional shortage areas.--
       ``(A) Encouragement.--The Secretary shall encourage 
     entities described in paragraphs (1) and (2) that are located 
     in or serve a health professional shortage area to apply for 
     grants under subsection (a)(1).
       ``(B) Definition.--In subparagraph (A), the term `health 
     professional shortage area' means a health professional 
     shortage area designated under section 332.
       ``(d) Reports.--
       ``(1) Reports to secretary.--
       ``(A) In general.--An entity that receives a grant under 
     subsection (a)(1) shall submit reports on the use of the 
     grant funds to the Secretary, including progress reports, as 
     required by the Secretary. Such reports shall include--
       ``(i) any findings of the program established, or expanded, 
     by the entity through the grant; and
       ``(ii) if applicable, the manner in which the entity has 
     incorporated such findings in the violence intervention or 
     violence prevention program conducted by such entity.
       ``(B) Option for joint report.--To the extent feasible and 
     appropriate, an entity that receives a grant under subsection 
     (a)(1) may elect to coordinate with one or more other 
     entities that have received such a grant to submit a joint 
     report that meets the requirements of subparagraph (A).
       ``(2) Report to congress.--Not later than six years after 
     the date of enactment of the Bipartisan Solution to Cyclical 
     Violence Act of 2021, the Secretary shall submit to Congress 
     a report--
       ``(A) on any findings resulting from reports submitted to 
     the Secretary under paragraph (1);
       ``(B) on best practices developed by the Secretary under 
     subsection (e); and
       ``(C) with recommendations for legislative action relating 
     to intentional violent trauma prevention that the Secretary 
     determines appropriate.
       ``(e) Best Practices.--Not later than six years after the 
     date of enactment of the Bipartisan Solution to Cyclical 
     Violence Act of 2021, the Secretary shall--
       ``(1) develop, and post on a public website of the 
     Department of Health and Human Services, best practices for 
     intentional violent trauma prevention, based on any findings 
     reported to the Secretary under subsection (d)(1); and
       ``(2) disseminate such best practices to stakeholders, as 
     determined appropriate by the Secretary.
       ``(f) Authorization of Appropriations.--To carry out this 
     section, there is authorized to be appropriated $10,000,000 
     for the period of fiscal years 2022 through 2025.''.


Effective Suicide Screening and Assessment in the Emergency Department 
                              Act of 2021

                               H.R. 1324

       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 ``Effective Suicide Screening 
     and Assessment in the Emergency Department Act of 2021''.

     SEC. 2. PROGRAM TO IMPROVE THE CARE PROVIDED TO PATIENTS IN 
                   THE EMERGENCY DEPARTMENT WHO ARE AT RISK OF 
                   SUICIDE.

       Part P of title III of the Public Health Service Act (42 
     U.S.C. 280g et seq.) is amended by adding at the end the 
     following new section:

     ``SEC. 399V-7. PROGRAM TO IMPROVE THE CARE PROVIDED TO 
                   PATIENTS IN THE EMERGENCY DEPARTMENT WHO ARE AT 
                   RISK OF SUICIDE.

       ``(a) In General.--The Secretary shall establish a program 
     (in this Act referred to as the `Program') to improve the 
     identification, assessment, and treatment of patients in 
     emergency departments who are at risk for suicide, including 
     by--
       ``(1) developing policies and procedures for identifying 
     and assessing individuals who are at risk of suicide; and
       ``(2) enhancing the coordination of care for such 
     individuals after discharge.
       ``(b) Grant Establishment and Participation.--
       ``(1) In general.--In carrying out the Program, the 
     Secretary shall award grants on a competitive basis to not 
     more than 40 eligible health care sites described in 
     paragraph (2).
       ``(2) Eligibility.--To be eligible for a grant under this 
     section, a health care site shall--
       ``(A) submit an application to the Secretary at such time, 
     in such manner, and containing such information as the 
     Secretary may specify;
       ``(B) be a hospital (as defined in section 1861(e) of the 
     Social Security Act);
       ``(C) have an emergency department; and
       ``(D) deploy onsite health care or social service 
     professionals to help connect and integrate patients who are 
     at risk of suicide with treatment and mental health support 
     services.
       ``(3) Preference.--In awarding grants under this section, 
     the Secretary may give preference to eligible health care 
     sites described in paragraph (2) that meet at least one of 
     the following criteria:
       ``(A) The eligible health care site is a critical access 
     hospital (as defined in section 1861(mm)(1) of the Social 
     Security Act).
       ``(B) The eligible health care site is a sole community 
     hospital (as defined in section 1886(d)(5)(D)(iii) of the 
     Social Security Act).
       ``(C) The eligible health care site is operated by the 
     Indian Health Service, by an Indian Tribe or Tribal 
     organization (as such terms are defined in section 4 of the 
     Indian Self-Determination and Education Assistance Act), or 
     by an urban Indian organization (as defined in section 4 of 
     the Indian Health Care Improvement Act).
       ``(D) The eligible health care site is located in a 
     geographic area with a suicide rate that is higher than the 
     national rate, as determined by the Secretary based on the 
     most recent data from the Centers for Disease Control and 
     Prevention.
       ``(c) Period of Grant.--A grant awarded to an eligible 
     health care site under this section shall be for a period of 
     at least 2 years.
       ``(d) Grant Uses.--
       ``(1) Required uses.--A grant awarded under this section to 
     an eligible health care site shall be used for the following 
     purposes:
       ``(A) To train emergency department health care 
     professionals to identify, assess, and treat patients who are 
     at risk of suicide.
       ``(B) To establish and implement policies and procedures 
     for emergency departments to improve the identification, 
     assessment, and treatment of individuals who are at risk of 
     suicide.
       ``(C) To establish and implement policies and procedures 
     with respect to care coordination, integrated care models, or 
     referral to evidence-based treatment to be used upon the 
     discharge from the emergency department of patients who are 
     at risk of suicide.
       ``(2) Additional permissible uses.--In addition to the 
     required uses listed in paragraph (1), a grant awarded under 
     this section to an eligible health care site may be used for 
     any of the following purposes:
       ``(A) To hire emergency department psychiatrists, 
     psychologists, nurse practitioners, counselors, therapists, 
     or other licensed health care and behavioral health 
     professionals specializing in the treatment of individuals at 
     risk of suicide.
       ``(B) To develop and implement best practices for the 
     follow-up care and long-term treatment of individuals who are 
     at risk of suicide.
       ``(C) To increase the availability of, and access to, 
     evidence-based treatment for individuals who are at risk of 
     suicide, including through telehealth services and strategies 
     to reduce the boarding of these patients in emergency 
     departments.
       ``(D) To offer consultation with and referral to other 
     supportive services that provide evidence-based treatment and 
     recovery for individuals who are at risk of suicide.
       ``(e) Reporting Requirements.--
       ``(1) Reports by grantees.--Each eligible health care site 
     receiving a grant under this section shall submit to the 
     Secretary an annual report for each year for which the grant 
     is received on the progress of the program funded through the 
     grant. Each such report shall include information on--
       ``(A) the number of individuals screened in the site's 
     emergency department for being at risk of suicide;
       ``(B) the number of individuals identified in the site's 
     emergency department as being--
       ``(i) survivors of an attempted suicide; or
       ``(ii) are at risk of suicide;
       ``(C) the number of individuals who are identified in the 
     site's emergency department as being at risk of suicide by a 
     health care or behavioral health professional hired pursuant 
     to subsection (d)(2)(A);
       ``(D) the number of individuals referred by the site's 
     emergency department to other treatment facilities, the types 
     of such other facilities, and the number of such individuals 
     admitted to such other facilities pursuant to such referrals;
       ``(E) the effectiveness of programs and activities funded 
     through the grant in preventing suicides and suicide 
     attempts; and
       ``(F) any other relevant additional data regarding the 
     programs and activities funded through the grant.
       ``(2) Report by secretary.--Not later than one year after 
     the end of fiscal year 2026, the Secretary shall submit to 
     Congress a report that includes--
       ``(A) findings on the Program;
       ``(B) overall patient outcomes achieved through the 
     Program;
       ``(C) an evaluation of the effectiveness of having a 
     trained health care or behavioral health professional onsite 
     to identify, assess, and treat patients who are at risk of 
     suicide; and
       ``(D) a compilation of policies, procedures, and best 
     practices established, developed, or implemented by grantees 
     under this section.

[[Page H2240]]

       ``(f) Authorization of Appropriations.--There is authorized 
     to be appropriated to carry out this section $20,000,000 for 
     the period of fiscal years 2022 through 2026.''.

   Puppies Assisting Wounded Servicemembers for Veterans Therapy Act

                               H.R. 1448

       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 ``Puppies Assisting Wounded 
     Servicemembers for Veterans Therapy Act'' or the ``PAWS for 
     Veterans Therapy Act''.

     SEC. 2. DEPARTMENT OF VETERANS AFFAIRS PILOT PROGRAM ON DOG 
                   TRAINING THERAPY.

       (a) In General.--Not later than 180 days after the date of 
     the enactment of the Act, the Secretary of Veterans Affairs 
     shall commence the conduct of a pilot program to provide 
     canine training to eligible veterans diagnosed with post-
     traumatic stress disorder (in this section referred to as 
     ``PTSD'') as an element of a complementary and integrative 
     health program for such veterans.
       (b) Duration; Medical Centers.--
       (1) Duration.--The Secretary shall carry out the pilot 
     program under subsection (a) for a five-year period beginning 
     on the date of the commencement of the pilot program.
       (2) Medical centers.--The Secretary shall ensure that such 
     pilot program is carried out by not fewer than five medical 
     centers of the Department of Veterans Affairs located in 
     geographically diverse areas.
       (c) Agreements With Entities.--In carrying out the pilot 
     program under subsection (a), the Secretary shall seek to 
     enter into agreements with nongovernmental entities that the 
     Secretary determines have the demonstrated ability to provide 
     the canine training specified in subsection (a).
       (d) Required Conditions.--The Secretary shall include in 
     any agreement under subsection (c) conditions requiring that 
     the nongovernmental entity seeking to enter into the 
     agreement--
       (1) submits to the Secretary certification that the entity 
     is an accredited service dog training organization;
       (2) agrees to ensure that veterans participating in the 
     pilot program under subsection (a) receive training from 
     certified service dog training instructors for a period of 
     time determined appropriate by the entity;
       (3) agrees to ensure that veterans participating in such 
     pilot program are prohibited from having access to a dog 
     under such pilot program at any time during such 
     participation without the supervision of a certified service 
     dog training instructor;
       (4) agrees to ensure that veterans participating in such 
     pilot program receive training in skills unique to the needs 
     of the veteran to address or alleviate PTSD symptoms of the 
     veteran;
       (5) agrees not to use shock collars or prong collars as 
     training tools and to use positive reinforcement training; 
     and
       (6) agrees to provide any follow-up training support 
     specified in subsection (e)(2), as applicable.
       (e) Adoption of Dog.--
       (1) In general.--A veteran who has participated in the 
     pilot program under subsection (a) may adopt a dog that the 
     veteran assisted in training during such pilot program if the 
     veteran and the veteran's health provider (in consultation 
     with the entity that provided the canine training with 
     respect to the dog under such pilot program) determine that 
     it is in the best interest of the veteran.
       (2) Follow-up training support.--If a veteran adopts a dog 
     under paragraph (1), the entity that provided the canine 
     training with respect to the dog under the pilot program 
     shall provide follow-up training support for the life of the 
     dog. Such support shall include the provision of a contact 
     plan between the veteran and the entity that enables the 
     veteran to seek and receive assistance from the entity to 
     ensure the dog is being properly cared for.
       (f) Eligibility for Other Care and Treatment.--
     Participation in the pilot program under subsection (a) may 
     not preclude a veteran from receiving any other medical care 
     or treatment for PTSD furnished by the Department, including 
     therapy, for which the veteran is otherwise eligible.
       (g) Collection of Data.--In carrying out this section, the 
     Secretary shall--
       (1) develop metrics and other appropriate means to measure, 
     with respect to veterans participating in the pilot program 
     under subsection (a)--
       (A) the number of such veterans participating;
       (B) the satisfaction of such veterans with the pilot 
     program;
       (C) whether participation in the pilot program resulted in 
     any clinically relevant improvements for such veterans, as 
     determined by the health care provider or clinical team that 
     referred the veteran to participate in the pilot program; and
       (D) such other factors as the Secretary may determine 
     appropriate; and
       (2) establish processes to document and track the progress 
     of such veterans under the pilot program with respect to 
     health benefits and improvements.
       (h) Report by Secretary.--Not later than one year before 
     the date on which the pilot program under subsection (a) 
     terminates, the Secretary shall submit to the Committees on 
     Veterans' Affairs of the House of Representatives and the 
     Senate a report containing the recommendations of the 
     Secretary regarding--
       (1) whether to extend or make permanent the pilot program; 
     and
       (2) the feasibility and advisability of expanding the pilot 
     program to address mental health conditions other than PTSD.
       (i) GAO Briefing and Study.--
       (1) Briefing.--Not later than one year after the date of 
     the commencement of the pilot program under subsection (a), 
     the Comptroller General of the United States shall provide to 
     the Committees on Veterans' Affairs of the House of 
     Representatives and the Senate a briefing on the methodology 
     established for the pilot program.
       (2) Report.--Not later than 270 days after the date on 
     which the pilot program terminates, the Comptroller General 
     shall submit to the committees specified in paragraph (1) a 
     report on the pilot program. Such report shall include an 
     evaluation of the approach and methodology used for the pilot 
     program with respect to--
       (A) assisting veterans with PTSD; and
       (B) measuring relevant metrics, such as reduction in scores 
     under the Clinician Administered PTSD Scale (CAPS), 
     improvement in psychosocial function, and therapeutic 
     compliance.
       (j) Definitions.--In this section:
       (1) The term ``accredited service dog training 
     organization'' means an organization described in section 
     501(c)(3) of the Internal Revenue Code of 1986 that--
       (A) provides service dogs to veterans with PTSD; and
       (B) is accredited by an accrediting organization with 
     demonstrated experience, national scope, and recognized 
     leadership and expertise in the training of service dogs and 
     education in the use of service dogs (as determined by the 
     Secretary).
       (2) The term ``eligible veteran'' means a veteran who--
       (A) is enrolled in the patient enrollment system in the 
     Department of Veterans Affairs under section 1705 of title 
     38, United States Code; and
       (B) has been recommended for participation in the pilot 
     program under subsection (a) by a qualified mental health 
     care provider or clinical team based on medical judgment that 
     the veteran may benefit from such participation with respect 
     to the diagnosed PTSD of the veteran.
       (3) The term ``service dog training instructor'' means an 
     instructor who provides the direct training of veterans with 
     PTSD in the art and science of service dog training and 
     handling.

     SEC. 3. PROVISION OF SERVICE DOGS AND VETERINARY INSURANCE 
                   BENEFITS TO VETERANS WITH POST-TRAUMATIC STRESS 
                   DISORDER WHO DO NOT HAVE CERTAIN IMPAIRMENTS.

       (a) In General.--Section 1714 of title 38, United States 
     Code, is amended by adding at the end the following new 
     subsections:
       ``(e) The Secretary may provide a service dog to a veteran 
     under subsection (c)(3) regardless of whether the veteran has 
     a mobility impairment.
       ``(f)(1) The Secretary shall provide to any veteran 
     described in paragraph (2) a commercially available 
     veterinary insurance policy for each dog provided to such 
     veteran under subsection (b) or (c).
       ``(2) A veteran described in this paragraph is a veteran 
     who--
       ``(A) is diagnosed with post-traumatic stress disorder or a 
     visual, hearing, or substantial mobility impairment;
       ``(B) has received a dog under subsection (b) or (c) in 
     connection with such disorder or impairment; and
       ``(C) meets such other requirements as the Secretary may 
     prescribe.''.
       (b) Applicability.--Section 1714(f) of title 38, United 
     States Code, as added by subsection (a), shall apply with 
     respect to a veteran provided a dog by the Secretary of 
     Veterans Affairs on or after the date of the enactment of 
     this Act.

                  Pursuing Equity in Mental Health Act

                               H.R. 1475

       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 ``Pursuing Equity in Mental 
     Health Act''.

     SEC. 2. TABLE OF CONTENTS.

       The table of contents for this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.

               TITLE I--HEALTH EQUITY AND ACCOUNTABILITY

Sec. 101. Integrated Health Care Demonstration Program.
Sec. 102. Addressing racial and ethnic minority mental health 
              disparities research gaps.
Sec. 103. Health professions competencies to address racial and ethnic 
              minority mental health disparities.
Sec. 104. Racial and ethnic minority behavioral and mental health 
              outreach and education strategy.
Sec. 105. Additional funds for National Institutes of Health.
Sec. 106. Additional funds for National Institute on Minority Health 
              and Health Disparities.

                       TITLE II--OTHER PROVISIONS

Sec. 201. Reauthorization of Minority Fellowship Program.

[[Page H2241]]

Sec. 202. Study on the Effects of Smartphone and Social Media Use on 
              Adolescents.
Sec. 203. Technical correction.

               TITLE I--HEALTH EQUITY AND ACCOUNTABILITY

     SEC. 101. INTEGRATED HEALTH CARE DEMONSTRATION PROGRAM.

       Part D of title V of the Public Health Service Act (42 
     U.S.C. 290dd et seq.) is amended by inserting after section 
     553 of such Act (as redesignated and moved by section 203 of 
     this Act) the following:

     ``SEC. 554. INTERPROFESSIONAL HEALTH CARE TEAMS FOR PROVISION 
                   OF BEHAVIORAL HEALTH CARE IN PRIMARY CARE 
                   SETTINGS.

       ``(a) Grants.--The Secretary shall award grants to eligible 
     entities for the purpose of establishing interprofessional 
     health care teams that provide behavioral health care.
       ``(b) Eligible Entities.--To be eligible to receive a grant 
     under this section, an entity shall be a Federally qualified 
     health center (as defined in section 1861(aa) of the Social 
     Security Act), rural health clinic, or behavioral health 
     program, serving a high proportion of individuals from racial 
     and ethnic minority groups (as defined in section 1707(g)).
       ``(c) Scientifically Based.--Integrated health care funded 
     through this section shall be scientifically based, taking 
     into consideration the results of the most recent peer-
     reviewed research available.
       ``(d) Authorization of Appropriations.--To carry out this 
     section, there is authorized to be appropriated $20,000,000 
     for each of the first 5 fiscal years following the date of 
     enactment of the Pursuing Equity in Mental Health Act.''.

     SEC. 102. ADDRESSING RACIAL AND ETHNIC MINORITY MENTAL HEALTH 
                   DISPARITIES RESEARCH GAPS.

       Not later than 6 months after the date of the enactment of 
     this Act, the Director of the National Institutes of Health 
     shall enter into an arrangement with the National Academies 
     of Sciences, Engineering, and Medicine (or, if the National 
     Academies of Sciences, Engineering, and Medicine decline to 
     enter into such an arrangement, the Patient-Centered Outcomes 
     Research Institute, the Agency for Healthcare Research and 
     Quality, or another appropriate entity)--
       (1) to conduct a study with respect to mental health 
     disparities in racial and ethnic minority groups (as defined 
     in section 1707(g) of the Public Health Service Act (42 
     U.S.C. 300u-6(g))); and
       (2) to submit to the Congress a report on the results of 
     such study, including--
       (A) a compilation of information on the dynamics of mental 
     disorders in such racial and ethnic minority groups; and
       (B) a compilation of information on the impact of exposure 
     to community violence, adverse childhood experiences, 
     structural racism, and other psychological traumas on mental 
     disorders in such racial and minority groups.

     SEC. 103. HEALTH PROFESSIONS COMPETENCIES TO ADDRESS RACIAL 
                   AND ETHNIC MINORITY MENTAL HEALTH DISPARITIES.

       (a) In General.--The Secretary of Health and Human Services 
     may award grants to qualified national organizations for the 
     purposes of--
       (1) developing, and disseminating to health professional 
     educational programs best practices or core competencies 
     addressing mental health disparities among racial and ethnic 
     minority groups for use in the training of students in the 
     professions of social work, psychology, psychiatry, marriage 
     and family therapy, mental health counseling, and substance 
     misuse counseling; and
       (2) certifying community health workers and peer wellness 
     specialists with respect to such best practices and core 
     competencies and integrating and expanding the use of such 
     workers and specialists into health care to address mental 
     health disparities among racial and ethnic minority groups.
       (b) Best Practices; Core Competencies.--Organizations 
     receiving funds under subsection (a) may use the funds to 
     engage in the following activities related to the development 
     and dissemination of best practices or core competencies 
     described in subsection (a)(1):
       (1) Formation of committees or working groups comprised of 
     experts from accredited health professions schools to 
     identify best practices and core competencies relating to 
     mental health disparities among racial and ethnic minority 
     groups.
       (2) Planning of workshops in national fora to allow for 
     public input into the educational needs associated with 
     mental health disparities among racial and ethnic minority 
     groups.
       (3) Dissemination and promotion of the use of best 
     practices or core competencies in undergraduate and graduate 
     health professions training programs nationwide.
       (4) Establishing external stakeholder advisory boards to 
     provide meaningful input into policy and program development 
     and best practices to reduce mental health disparities among 
     racial and ethnic minority groups.
       (c) Definitions.--In this section:
       (1) Qualified national organization.--The term ``qualified 
     national organization'' means a national organization that 
     focuses on the education of students in one or more of the 
     professions of social work, psychology, psychiatry, marriage 
     and family therapy, mental health counseling, and substance 
     misuse counseling.
       (2) Racial and ethnic minority group.--The term ``racial 
     and ethnic minority group'' has the meaning given to such 
     term in section 1707(g) of the Public Health Service Act (42 
     U.S.C. 300u-6(g)).

     SEC. 104. RACIAL AND ETHNIC MINORITY BEHAVIORAL AND MENTAL 
                   HEALTH OUTREACH AND EDUCATION STRATEGY.

       Part D of title V of the Public Health Service Act (42 
     U.S.C. 290dd et seq.) is amended by inserting after section 
     554 of such Act, as added by section 101 of this Act, the 
     following:

     ``SEC. 555. BEHAVIORAL AND MENTAL HEALTH OUTREACH AND 
                   EDUCATION STRATEGY.

       ``(a) In General.--The Secretary shall, in consultation 
     with advocacy and behavioral and mental health organizations 
     serving racial and ethnic minority groups, develop and 
     implement an outreach and education strategy to promote 
     behavioral and mental health and reduce stigma associated 
     with mental health conditions and substance abuse among 
     racial and ethnic minority groups. Such strategy shall--
       ``(1) be designed to--
       ``(A) meet the diverse cultural and language needs of the 
     various racial and ethnic minority groups; and
       ``(B) be developmentally and age-appropriate;
       ``(2) increase awareness of symptoms of mental illnesses 
     common among such groups, taking into account differences 
     within at-risk subgroups;
       ``(3) provide information on evidence-based, culturally and 
     linguistically appropriate and adapted interventions and 
     treatments;
       ``(4) ensure full participation of, and engage, both 
     consumers and community members in the development and 
     implementation of materials; and
       ``(5) seek to broaden the perspective among both 
     individuals in these groups and stakeholders serving these 
     groups to use a comprehensive public health approach to 
     promoting behavioral health that addresses a holistic view of 
     health by focusing on the intersection between behavioral and 
     physical health.
       ``(b) Reports.--Beginning not later than 1 year after the 
     date of the enactment of this section and annually 
     thereafter, the Secretary shall submit to Congress, and make 
     publicly available, a report on the extent to which the 
     strategy developed and implemented under subsection (a) 
     increased behavioral and mental health outcomes associated 
     with mental health conditions and substance abuse among 
     racial and ethnic minority groups.
       ``(c) Definition.--In this section, the term `racial and 
     ethnic minority group' has the meaning given to that term in 
     section 1707(g).
       ``(d) Authorization of Appropriations.--There is authorized 
     to be appropriated to carry out this section $10,000,000 for 
     each of fiscal years 2022 through 2026.''.

     SEC. 105. ADDITIONAL FUNDS FOR NATIONAL INSTITUTES OF HEALTH.

       (a) In General.--In addition to amounts otherwise 
     authorized to be appropriated to the National Institutes of 
     Health, there is authorized to be appropriated to such 
     Institutes $100,000,000 for each of fiscal years 2022 through 
     2026 to build relations with communities and conduct or 
     support clinical research, including clinical research on 
     racial or ethnic disparities in physical and mental health.
       (b) Definition.--In this section, the term ``clinical 
     research'' has the meaning given to such term in section 409 
     of the Public Health Service Act (42 U.S.C. 284d).

     SEC. 106. ADDITIONAL FUNDS FOR NATIONAL INSTITUTE ON MINORITY 
                   HEALTH AND HEALTH DISPARITIES.

       In addition to amounts otherwise authorized to be 
     appropriated to the National Institute on Minority Health and 
     Health Disparities, there is authorized to be appropriated to 
     such Institute $650,000,000 for each of fiscal years 2022 
     through 2026.

                       TITLE II--OTHER PROVISIONS

     SEC. 201. REAUTHORIZATION OF MINORITY FELLOWSHIP PROGRAM.

       Section 597(c) of the Public Health Service Act (42 U.S.C. 
     297ll(c)) is amended by striking ``$12,669,000 for each of 
     fiscal years 2018 through 2022'' and inserting ``$25,000,000 
     for each of fiscal years 2022 through 2026''.

     SEC. 202. STUDY ON THE EFFECTS OF SMARTPHONE AND SOCIAL MEDIA 
                   USE ON ADOLESCENTS.

       (a) In General.--Not later than 1 year after the date of 
     enactment of this Act, the Secretary of Health and Human 
     Services shall conduct or support research on--
       (1) smartphone and social media use by adolescents; and
       (2) the effects of such use on--
       (A) emotional, behavioral, and physical health and 
     development; and
       (B) disparities in minority and underserved populations.
       (b) Report.--Not later than 5 years after the date of the 
     enactment of this Act, the Secretary shall submit to the 
     Congress, and make publicly available, a report on the 
     findings of research described in this section.

     SEC. 203. TECHNICAL CORRECTION.

       Title V of the Public Health Service Act (42 U.S.C. 290aa 
     et seq.) is amended--
       (1) by redesignating the second section 550 (42 U.S.C. 
     290ee-10) (relating to Sobriety Treatment And Recovery Teams) 
     as section 553; and
       (2) by moving such section, as so redesignated, so as to 
     appear after section 552 (42 U.S.C. 290ee-7).

[[Page H2242]]

  



               Helping Emergency Responders Overcome Act

                               H.R. 1480

       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 ``Helping Emergency Responders 
     Overcome Act'' or the ``HERO Act''.

     SEC. 2. DATA SYSTEM TO CAPTURE NATIONAL PUBLIC SAFETY OFFICER 
                   SUICIDE INCIDENCE.

       The Public Health Service Act is amended by inserting 
     before section 318 of such Act (42 U.S.C. 247c) the 
     following:

     ``SEC. 317V. DATA SYSTEM TO CAPTURE NATIONAL PUBLIC SAFETY 
                   OFFICER SUICIDE INCIDENCE.

       ``(a) In General.--The Secretary, in coordination with the 
     Director of the Centers for Disease Control and Prevention 
     and other agencies as the Secretary determines appropriate, 
     may--
       ``(1) develop and maintain a data system, to be known as 
     the Public Safety Officer Suicide Reporting System, for the 
     purposes of--
       ``(A) collecting data on the suicide incidence among public 
     safety officers; and
       ``(B) facilitating the study of successful interventions to 
     reduce suicide among public safety officers; and
       ``(2) integrate such system into the National Violent Death 
     Reporting System, so long as the Secretary determines such 
     integration to be consistent with the purposes described in 
     paragraph (1).
       ``(b) Data Collection.--In collecting data for the Public 
     Safety Officer Suicide Reporting System, the Secretary shall, 
     at a minimum, collect the following information:
       ``(1) The total number of suicides in the United States 
     among all public safety officers in a given calendar year.
       ``(2) Suicide rates for public safety officers in a given 
     calendar year, disaggregated by--
       ``(A) age and gender of the public safety officer;
       ``(B) State;
       ``(C) occupation; including both the individual's role in 
     their public safety agency and their primary occupation in 
     the case of volunteer public safety officers;
       ``(D) where available, the status of the public safety 
     officer as volunteer, paid-on-call, or career; and
       ``(E) status of the public safety officer as active or 
     retired.
       ``(c) Consultation During Development.--In developing the 
     Public Safety Officer Suicide Reporting System, the Secretary 
     shall consult with non-Federal experts to determine the best 
     means to collect data regarding suicide incidence in a safe, 
     sensitive, anonymous, and effective manner. Such non-Federal 
     experts shall include, as appropriate, the following:
       ``(1) Public health experts with experience in developing 
     and maintaining suicide registries.
       ``(2) Organizations that track suicide among public safety 
     officers.
       ``(3) Mental health experts with experience in studying 
     suicide and other profession-related traumatic stress.
       ``(4) Clinicians with experience in diagnosing and treating 
     mental health issues.
       ``(5) Active and retired volunteer, paid-on-call, and 
     career public safety officers.
       ``(6) Relevant national police, and fire and emergency 
     medical services, organizations.
       ``(d) Data Privacy and Security.--In developing and 
     maintaining the Public Safety Officer Suicide Reporting 
     System, the Secretary shall ensure that all applicable 
     Federal privacy and security protections are followed to 
     ensure that--
       ``(1) the confidentiality and anonymity of suicide victims 
     and their families are protected, including so as to ensure 
     that data cannot be used to deny benefits; and
       ``(2) data is sufficiently secure to prevent unauthorized 
     access.
       ``(e) Reporting.--
       ``(1) Annual report.--Not later than 2 years after the date 
     of enactment of the Helping Emergency Responders Overcome 
     Act, and biannually thereafter, the Secretary shall submit a 
     report to the Congress on the suicide incidence among public 
     safety officers. Each such report shall--
       ``(A) include the number and rate of such suicide 
     incidence, disaggregated by age, gender, and State of 
     employment;
       ``(B) identify characteristics and contributing 
     circumstances for suicide among public safety officers;
       ``(C) disaggregate rates of suicide by--
       ``(i) occupation;
       ``(ii) status as volunteer, paid-on-call, or career; and
       ``(iii) status as active or retired;
       ``(D) include recommendations for further study regarding 
     the suicide incidence among public safety officers;
       ``(E) specify in detail, if found, any obstacles in 
     collecting suicide rates for volunteers and include 
     recommended improvements to overcome such obstacles;
       ``(F) identify options for interventions to reduce suicide 
     among public safety officers; and
       ``(G) describe procedures to ensure the confidentiality and 
     anonymity of suicide victims and their families, as described 
     in subsection (d)(1).
       ``(2) Public availability.--Upon the submission of each 
     report to the Congress under paragraph (1), the Secretary 
     shall make the full report publicly available on the website 
     of the Centers for Disease Control and Prevention.
       ``(f) Definition.--In this section, the term `public safety 
     officer' means--
       ``(1) a public safety officer as defined in section 1204 of 
     the Omnibus Crime Control and Safe Streets Act of 1968; or
       ``(2) a public safety telecommunicator as described in 
     detailed occupation 43-5031 in the Standard Occupational 
     Classification Manual of the Office of Management and Budget 
     (2018).
       ``(g) Prohibited Use of Information.--Notwithstanding any 
     other provision of law, if an individual is identified as 
     deceased based on information contained in the Public Safety 
     Officer Suicide Reporting System, such information may not be 
     used to deny or rescind life insurance payments or other 
     benefits to a survivor of the deceased individual.''.

     SEC. 3. PEER-SUPPORT BEHAVIORAL HEALTH AND WELLNESS PROGRAMS 
                   WITHIN FIRE DEPARTMENTS AND EMERGENCY MEDICAL 
                   SERVICE AGENCIES.

       (a) In General.--Part B of title III of the Public Health 
     Service Act (42 U.S.C. 243 et seq.) is amended by adding at 
     the end the following:

     ``SEC. 320C. PEER-SUPPORT BEHAVIORAL HEALTH AND WELLNESS 
                   PROGRAMS WITHIN FIRE DEPARTMENTS AND EMERGENCY 
                   MEDICAL SERVICE AGENCIES.

       ``(a) In General.--The Secretary may award grants to 
     eligible entities for the purpose of establishing or 
     enhancing peer-support behavioral health and wellness 
     programs within fire departments and emergency medical 
     services agencies.
       ``(b) Program Description.--A peer-support behavioral 
     health and wellness program funded under this section shall--
       ``(1) use career and volunteer members of fire departments 
     or emergency medical services agencies to serve as peer 
     counselors;
       ``(2) provide training to members of career, volunteer, and 
     combination fire departments or emergency medical service 
     agencies to serve as such peer counselors;
       ``(3) purchase materials to be used exclusively to provide 
     such training; and
       ``(4) disseminate such information and materials as are 
     necessary to conduct the program.
       ``(c) Definition.--In this section:
       ``(1) The term `eligible entity' means a nonprofit 
     organization with expertise and experience with respect to 
     the health and life safety of members of fire and emergency 
     medical services agencies.
       ``(2) The term `member'--
       ``(A) with respect to an emergency medical services agency, 
     means an employee, regardless of rank or whether the employee 
     receives compensation (as defined in section 1204(7) of the 
     Omnibus Crime Control and Safe Streets Act of 1968); and
       ``(B) with respect to a fire department, means any 
     employee, regardless of rank or whether the employee receives 
     compensation, of a Federal, State, Tribal, or local fire 
     department who is responsible for responding to calls for 
     emergency service.''.
       (b) Technical Correction.--Effective as if included in the 
     enactment of the Children's Health Act of 2000 (Public Law 
     106-310), the amendment instruction in section 1603 of such 
     Act is amended by striking ``Part B of the Public Health 
     Service Act'' and inserting ``Part B of title III of the 
     Public Health Service Act''.

     SEC. 4. HEALTH CARE PROVIDER BEHAVIORAL HEALTH AND WELLNESS 
                   PROGRAMS.

       Part B of title III of the Public Health Service Act (42 
     U.S.C. 243 et seq.), as amended by section 3, is further 
     amended by adding at the end the following:

     ``SEC. 320D. HEALTH CARE PROVIDER BEHAVIORAL HEALTH AND 
                   WELLNESS PROGRAMS.

       ``(a) In General.--The Secretary may award grants to 
     eligible entities for the purpose of establishing or 
     enhancing behavioral health and wellness programs for health 
     care providers.
       ``(b) Program Description.--A behavioral health and 
     wellness program funded under this section shall--
       ``(1) provide confidential support services for health care 
     providers to help handle stressful or traumatic patient-
     related events, including counseling services and wellness 
     seminars;
       ``(2) provide training to health care providers to serve as 
     peer counselors to other health care providers;
       ``(3) purchase materials to be used exclusively to provide 
     such training; and
       ``(4) disseminate such information and materials as are 
     necessary to conduct such training and provide such peer 
     counseling.
       ``(c) Definitions.--In this section, the term `eligible 
     entity' means a hospital, including a critical access 
     hospital (as defined in section 1861(mm)(1) of the Social 
     Security Act) or a disproportionate share hospital (as 
     defined under section 1923(a)(1)(A) of such Act), a 
     Federally-qualified health center (as defined in section 
     1905(1)(2)(B) of such Act), or any other health care 
     facility.''.

     SEC. 5. DEVELOPMENT OF RESOURCES FOR EDUCATING MENTAL HEALTH 
                   PROFESSIONALS ABOUT TREATING FIRE FIGHTERS AND 
                   EMERGENCY MEDICAL SERVICES PERSONNEL.

       (a) In General.--The Administrator of the United States 
     Fire Administration, in consultation with the Secretary of 
     Health and Human Services, shall develop and make publicly 
     available resources that may be

[[Page H2243]]

     used by the Federal Government and other entities to educate 
     mental health professionals about--
       (1) the culture of Federal, State, Tribal, and local 
     career, volunteer, and combination fire departments and 
     emergency medical services agencies;
       (2) the different stressors experienced by firefighters and 
     emergency medical services personnel, supervisory 
     firefighters and emergency medical services personnel, and 
     chief officers of fire departments and emergency medical 
     services agencies;
       (3) challenges encountered by retired firefighters and 
     emergency medical services personnel; and
       (4) evidence-based therapies for mental health issues 
     common to firefighters and emergency medical services 
     personnel within such departments and agencies.
       (b) Consultation.--In developing resources under subsection 
     (a), the Administrator of the United States Fire 
     Administration and the Secretary of Health and Human Services 
     shall consult with national fire and emergency medical 
     services organizations.
       (c) Definitions.--In this section:
       (1) The term ``firefighter'' means any employee, regardless 
     of rank or whether the employee receives compensation, of a 
     Federal, State, Tribal, or local fire department who is 
     responsible for responding to calls for emergency service.
       (2) The term ``emergency medical services personnel'' means 
     any employee, regardless of rank or whether the employee 
     receives compensation, as defined in section 1204(7) of the 
     Omnibus Crime Control and Safe Streets Act of 1968 (34 U.S.C. 
     10284(7)).
       (3) The term ``chief officer'' means any individual who is 
     responsible for the overall operation of a fire department or 
     an emergency medical services agency, irrespective of whether 
     such individual also serves as a firefighter or emergency 
     medical services personnel.

     SEC. 6. BEST PRACTICES AND OTHER RESOURCES FOR ADDRESSING 
                   POSTTRAUMATIC STRESS DISORDER IN PUBLIC SAFETY 
                   OFFICERS.

       (a) Development; Updates.--The Secretary of Health and 
     Human Services shall--
       (1) develop and assemble evidence-based best practices and 
     other resources to identify, prevent, and treat posttraumatic 
     stress disorder and co-occurring disorders in public safety 
     officers; and
       (2) reassess and update, as the Secretary determines 
     necessary, such best practices and resources, including based 
     upon the options for interventions to reduce suicide among 
     public safety officers identified in the annual reports 
     required by section 317W(e)(1)(F) of the Public Health 
     Service Act, as added by section 2 of this Act.
       (b) Consultation.--In developing, assembling, and updating 
     the best practices and resources under subsection (a), the 
     Secretary of Health and Human Services shall consult with, at 
     a minimum, the following:
       (1) Public health experts.
       (2) Mental health experts with experience in studying 
     suicide and other profession-related traumatic stress.
       (3) Clinicians with experience in diagnosing and treating 
     mental health issues.
       (4) Relevant national police, fire, and emergency medical 
     services organizations.
       (c) Availability.--The Secretary of Health and Human 
     Services shall make the best practices and resources under 
     subsection (a) available to Federal, State, and local fire, 
     law enforcement, and emergency medical services agencies.
       (d) Federal Training and Development Programs.--The 
     Secretary of Health and Human Services shall work with 
     Federal departments and agencies, including the United States 
     Fire Administration, to incorporate education and training on 
     the best practices and resources under subsection (a) into 
     Federal training and development programs for public safety 
     officers.
       (e) Definition.--In this section, the term ``public safety 
     officer'' means--
       (1) a public safety officer as defined in section 1204 of 
     the Omnibus Crime Control and Safe Streets Act of 1968 (34 
     U.S.C. 10284); or
       (2) a public safety telecommunicator as described in 
     detailed occupation 43-5031 in the Standard Occupational 
     Classification Manual of the Office of Management and Budget 
     (2018).


                    Campaign to Prevent Suicide Act

                               H.R. 2862

       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 ``Campaign to Prevent Suicide 
     Act''.

     SEC. 2. NATIONAL SUICIDE PREVENTION LIFELINE.

       Section 520E-3(b)(2) of the Public Health Service Act (42 
     U.S.C. 290bb-36c(b)(2)) is amended by inserting after 
     ``suicide prevention hotline'' the following: ``, under the 
     universal telephone number designated under Section 251(e)(4) 
     of the Communications Act of 1934,''.

     SEC. 3. NATIONAL SUICIDE PREVENTION MEDIA CAMPAIGN.

       (a) National Suicide Prevention Media Campaign.--
       (1) In general.--Not later than the date that is three 
     years after the date of the enactment of this Act, the 
     Secretary of Health and Human Services (referred to in this 
     section as the ``Secretary''), in consultation with the 
     Assistant Secretary for Mental Health and Substance Use 
     (referred to in this section as the ``Assistant Secretary'') 
     and the Director of the Centers for Disease Control and 
     Prevention (referred to in this section as the ``Director''), 
     shall conduct a national suicide prevention media campaign 
     (referred to in this section as the ``national media 
     campaign''), in accordance with the requirements of this 
     section, for purposes of--
       (A) preventing suicide in the United States;
       (B) educating families, friends, and communities on how to 
     address suicide and suicidal thoughts, including when to 
     encourage individuals with suicidal risk to seek help; and
       (C) increasing awareness of suicide prevention resources of 
     the Centers for Disease Control and Prevention and the 
     Substance Abuse and Mental Health Services Administration 
     (including the suicide prevention hotline maintained under 
     section 520E-3 of the Public Health Service Act (42 U.S.C. 
     290bb-36c)), any suicide prevention mobile application of the 
     Centers for Disease Control and Prevention or the Substance 
     Abuse Mental Health Services Administration, and other 
     support resources determined appropriate by the Secretary.
       (2) Additional consultation.--In addition to consulting 
     with the Assistant Secretary and the Director under this 
     section, the Secretary shall consult with, as appropriate, 
     State, local, Tribal, and territorial health departments, 
     primary health care providers, hospitals with emergency 
     departments, mental and behavioral health services providers, 
     crisis response services providers, first responders, suicide 
     prevention and mental health professionals, patient advocacy 
     groups, survivors of suicide attempts, and representatives of 
     television and social media platforms in planning the 
     national media campaign to be conducted under paragraph (1).
       (b) Target Audiences.--
       (1) Tailoring advertisements and other communications.--In 
     conducting the national media campaign under subsection 
     (a)(1), the Secretary may tailor culturally competent 
     advertisements and other communications of the campaign 
     across all available media for a target audience (such as a 
     particular geographic location or demographic) across the 
     lifespan.
       (2) Targeting certain local areas.--The Secretary shall, to 
     the maximum extent practicable, use amounts made available 
     under subsection (f) for media that targets certain local 
     areas or populations at disproportionate risk for suicide.
       (c) Use of Funds.--
       (1) Required uses.--
       (A) In general.--The Secretary shall, if reasonably 
     feasible with the funds made available under subsection (f), 
     carry out the following, with respect to the national media 
     campaign:
       (i) Testing and evaluation of advertising.
       (ii) Evaluation of the effectiveness of the national media 
     campaign.
       (iii) Operational and management expenses.
       (iv) The creation of an educational toolkit for television 
     and social media platforms to use in discussing suicide and 
     raising awareness about how to prevent suicide.
       (B) Specific requirements.--
       (i) Testing and evaluation of advertising.--In testing and 
     evaluating advertising under subparagraph (A)(i), the 
     Secretary shall test all advertisements after use in the 
     national media campaign to evaluate the extent to which such 
     advertisements have been effective in carrying out the 
     purposes of the national media campaign.
       (ii) Evaluation of effectiveness of national media 
     campaign.--In evaluating the effectiveness of the national 
     media campaign under subparagraph (A)(ii), the Secretary 
     shall take into account--

       (I) the number of unique calls that are made to the suicide 
     prevention hotline maintained under section 520E-3 of the 
     Public Health Service Act (42 U.S.C. 290bb-36c) and assess 
     whether there are any State and regional variations with 
     respect to the capacity to answer such calls;
       (II) the number of unique encounters with suicide 
     prevention and support resources of the Centers for Disease 
     Control and Prevention and the Substance Abuse and Mental 
     Health Services Administration and assess engagement with 
     such suicide prevention and support resources;
       (III) whether the national media campaign has contributed 
     to increased awareness that suicidal individuals should be 
     engaged, rather than ignored; and
       (IV) such other measures of evaluation as the Secretary 
     determines are appropriate.

       (2) Optional uses.--The Secretary may use amounts made 
     available under subsection (f) for the following, with 
     respect to the national media campaign:
       (A) Partnerships with professional and civic groups, 
     community-based organizations, including faith-based 
     organizations, and Government or Tribal organizations that 
     the Secretary determines have experience in suicide 
     prevention, including the Substance Abuse and Mental Health 
     Services Administration and the Centers for Disease Control 
     and Prevention.
       (B) Entertainment industry outreach, interactive outreach, 
     media projects and activities, public information, news media 
     outreach, outreach through television programs, and corporate 
     sponsorship and participation.
       (d) Prohibitions.--None of the amounts made available under 
     subsection (f) may be

[[Page H2244]]

     obligated or expended for any of the following:
       (1) To supplant current suicide prevention campaigns.
       (2) For partisan political purposes, or to express advocacy 
     in support of or to defeat any clearly identified candidate, 
     clearly identified ballot initiative, or clearly identified 
     legislative or regulatory proposal.
       (e) Report to Congress.--Not later than 18 months after 
     implementation of the national media campaign has begun, the 
     Secretary, in coordination with the Assistant Secretary and 
     the Director, shall, with respect to the first year of the 
     national media campaign, submit to Congress a report that 
     describes--
       (1) the strategy of the national media campaign and whether 
     specific objectives of such campaign were accomplished, 
     including whether such campaign impacted the number of calls 
     made to lifeline crisis centers and the capacity of such 
     centers to manage such calls;
       (2) steps taken to ensure that the national media campaign 
     operates in an effective and efficient manner consistent with 
     the overall strategy and focus of the national media 
     campaign;
       (3) plans to purchase advertising time and space;
       (4) policies and practices implemented to ensure that 
     Federal funds are used responsibly to purchase advertising 
     time and space and eliminate the potential for waste, fraud, 
     and abuse; and
       (5) all contracts entered into with a corporation, a 
     partnership, or an individual working on behalf of the 
     national media campaign.
       (f) Authorization of Appropriations.--For purposes of 
     carrying out this section, there is authorized to be 
     appropriated $10,000,000 for each of fiscal years 2022 
     through 2026.


                         Suicide Prevention Act

                               H.R. 2955

       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 ``Suicide Prevention Act''.

     SEC. 2. SYNDROMIC SURVEILLANCE OF SELF-HARM BEHAVIORS 
                   PROGRAM.

       Title III of the Public Health Service Act is amended by 
     inserting after section 317U of such Act (42 U.S.C. 247b-23) 
     the following:

     ``SEC. 317V. SYNDROMIC SURVEILLANCE OF SELF-HARM BEHAVIORS 
                   PROGRAM.

       ``(a) In General.--The Secretary shall award grants to 
     State, local, Tribal, and territorial public health 
     departments for the expansion of surveillance of self-harm.
       ``(b) Data Sharing by Grantees.--As a condition of receipt 
     of such grant under subsection (a), each grantee shall agree 
     to share with the Centers for Disease Control and Prevention 
     in real time, to the extent feasible and as specified in the 
     grant agreement, data on suicides and self-harm for purposes 
     of--
       ``(1) tracking and monitoring self-harm to inform response 
     activities to suicide clusters;
       ``(2) informing prevention programming for identified at-
     risk populations; and
       ``(3) conducting or supporting research.
       ``(c) Disaggregation of Data.--The Secretary shall provide 
     for the data collected through surveillance of self-harm 
     under subsection (b) to be disaggregated by the following 
     categories:
       ``(1) Nonfatal self-harm data of any intent.
       ``(2) Data on suicidal ideation.
       ``(3) Data on self-harm where there is no evidence, whether 
     implicit or explicit, of suicidal intent.
       ``(4) Data on self-harm where there is evidence, whether 
     implicit or explicit, of suicidal intent.
       ``(5) Data on self-harm where suicidal intent is unclear 
     based on the available evidence.
       ``(d) Priority.--In making awards under subsection (a), the 
     Secretary shall give priority to eligible entities that are--
       ``(1) located in a State with an age-adjusted rate of 
     nonfatal suicidal behavior that is above the national rate of 
     nonfatal suicidal behavior, as determined by the Director of 
     the Centers for Disease Control and Prevention;
       ``(2) serving an Indian Tribe (as defined in section 4 of 
     the Indian Self-Determination and Education Assistance Act) 
     with an age-adjusted rate of nonfatal suicidal behavior that 
     is above the national rate of nonfatal suicidal behavior, as 
     determined through appropriate mechanisms determined by the 
     Secretary in consultation with Indian Tribes; or
       ``(3) located in a State with a high rate of coverage of 
     statewide (or Tribal) emergency department visits, as 
     determined by the Director of the Centers for Disease Control 
     and Prevention.
       ``(e) Geographic Distribution.--In making grants under this 
     section, the Secretary shall make an effort to ensure 
     geographic distribution, taking into account the unique needs 
     of rural communities, including--
       ``(1) communities with an incidence of individuals with 
     serious mental illness, demonstrated suicidal ideation or 
     behavior, or suicide rates that are above the national 
     average, as determined by the Assistant Secretary for Mental 
     Health and Substance Use;
       ``(2) communities with a shortage of prevention and 
     treatment services, as determined by the Assistant Secretary 
     for Mental Health and Substance Use and the Administrator of 
     the Health Resources and Services Administration; and
       ``(3) other appropriate community-level factors and social 
     determinants of health such as income, employment, and 
     education.
       ``(f) Period of Participation.--To be selected as a grant 
     recipient under this section, a State, local, Tribal, or 
     territorial public health department shall agree to 
     participate in the program for a period of not less than 4 
     years.
       ``(g) Technical Assistance.--The Secretary shall provide 
     technical assistance and training to grantees for collecting 
     and sharing the data under subsection (b).
       ``(h) Data Sharing by HHS.--Subject to subsection (b), the 
     Secretary shall, with respect to data on self-harm that is 
     collected pursuant to this section, share and integrate such 
     data through--
       ``(1) the National Syndromic Surveillance Program's Early 
     Notification of Community Epidemics (ESSENCE) platform (or 
     any successor platform);
       ``(2) the National Violent Death Reporting System, as 
     appropriate; or
       ``(3) another appropriate surveillance program, including 
     such a program that collects data on suicides and self-harm 
     among special populations, such as members of the military 
     and veterans.
       ``(i) Rule of Construction Regarding Applicability of 
     Privacy Protections.--Nothing in this section shall be 
     construed to limit or alter the application of Federal or 
     State law relating to the privacy of information to data or 
     information that is collected or created under this section.
       ``(j) Report.--
       ``(1) Submission.--Not later than 3 years after the date of 
     enactment of this Act, the Secretary shall evaluate the 
     suicide and self-harm syndromic surveillance systems at the 
     Federal, State, and local levels and submit a report to 
     Congress on the data collected under subsections (b) and (c) 
     in a manner that prevents the disclosure of individually 
     identifiable information, at a minimum, consistent with all 
     applicable privacy laws and regulations.
       ``(2) Contents.--In addition to the data collected under 
     subsections (b) and (c), the report under paragraph (1) shall 
     include--
       ``(A) challenges and gaps in data collection and reporting;
       ``(B) recommendations to address such gaps and challenges; 
     and
       ``(C) a description of any public health responses 
     initiated at the Federal, State, or local level in response 
     to the data collected.
       ``(k) Authorization of Appropriations.--To carry out this 
     section, there are authorized to be appropriated $20,000,000 
     for each of fiscal years 2022 through 2026.''.

     SEC. 3. GRANTS TO PROVIDE SELF-HARM AND SUICIDE PREVENTION 
                   SERVICES.

       Part B of title V of the Public Health Service Act (42 
     U.S.C. 290aa et seq.) is amended by adding at the end the 
     following:

     ``SEC. 520N. GRANTS TO PROVIDE SELF-HARM AND SUICIDE 
                   PREVENTION SERVICES.

       ``(a) In General.--The Secretary of Health and Human 
     Services shall award grants to hospital emergency departments 
     to provide self-harm and suicide prevention services.
       ``(b) Activities Supported.--
       ``(1) In general.--A hospital emergency department awarded 
     a grant under subsection (a) shall use amounts under the 
     grant to implement a program or protocol to better prevent 
     suicide attempts among hospital patients after discharge, 
     which may include--
       ``(A) screening patients for self-harm and suicide in 
     accordance with the standards of practice described in 
     subsection (e)(1) and standards of care established by 
     appropriate medical and advocacy organizations;
       ``(B) providing patients short-term self-harm and suicide 
     prevention services in accordance with the results of the 
     screenings described in subparagraph (A); and
       ``(C) referring patients, as appropriate, to a health care 
     facility or provider for purposes of receiving long-term 
     self-harm and suicide prevention services, and providing any 
     additional follow up services and care identified as 
     appropriate as a result of the screenings and short-term 
     self-harm and suicide prevention services described in 
     subparagraphs (A) and (B).
       ``(2) Use of funds to hire and train staff.--Amounts 
     awarded under subsection (a) may be used to hire clinical 
     social workers, mental and behavioral health care 
     professionals, and support staff as appropriate, and to train 
     existing staff and newly hired staff to carry out the 
     activities described in paragraph (1).
       ``(c) Grant Terms.--A grant awarded under subsection (a)--
       ``(1) shall be for a period of 3 years; and
       ``(2) may be renewed subject to the requirements of this 
     section.
       ``(d) Applications.--A hospital emergency department 
     seeking a grant under subsection (a) shall submit an 
     application to the Secretary at such time, in such manner, 
     and accompanied by such information as the Secretary may 
     require.
       ``(e) Standards of Practice.--
       ``(1) In general.--Not later than 180 days after the date 
     of the enactment of this section, the Secretary shall develop 
     standards of practice for screening patients for self-harm 
     and suicide for purposes of carrying out subsection 
     (b)(1)(C).
       ``(2) Consultation.--The Secretary shall develop the 
     standards of practice described in paragraph (1) in 
     consultation with individuals and entities with expertise in 
     self-harm and suicide prevention, including public, private, 
     and non-profit entities.

[[Page H2245]]

       ``(f) Reporting.--
       ``(1) Reports to the secretary.--
       ``(A) In general.--A hospital emergency department awarded 
     a grant under subsection (a) shall, at least quarterly for 
     the duration of the grant, submit to the Secretary a report 
     evaluating the activities supported by the grant.
       ``(B) Matters to be included.--The report required under 
     subparagraph (A) shall include--
       ``(i) the number of patients receiving--

       ``(I) screenings carried out at the hospital emergency 
     department;
       ``(II) short-term self-harm and suicide prevention services 
     at the hospital emergency department; and
       ``(III) referrals to health care facilities for the 
     purposes of receiving long-term self-harm and suicide 
     prevention;

       ``(ii) information on the adherence of the hospital 
     emergency department to the standards of practice described 
     in subsection (f)(1); and
       ``(iii) other information as the Secretary determines 
     appropriate to evaluate the use of grant funds.
       ``(2) Reports to congress.--Not later than 2 years after 
     the date of the enactment of the Suicide Prevention Act, and 
     biennially thereafter, the Secretary shall submit to the 
     Committee on Health, Education, Labor and Pensions of the 
     Senate and the Committee on Energy and Commerce of the House 
     of Representatives a report on the grant program under this 
     section, including--
       ``(A) a summary of reports received by the Secretary under 
     paragraph (1); and
       ``(B) an evaluation of the program by the Secretary.
       ``(g) Authorization of Appropriations.--To carry out this 
     section, there are authorized to be appropriated $30,000,000 
     for each of fiscal years 2022 through 2026.''.


          Suicide Prevention Lifeline Improvement Act of 2021

                               H.R. 2981

       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 ``Suicide Prevention Lifeline 
     Improvement Act of 2021''.

     SEC. 2. SUICIDE PREVENTION LIFELINE.

       (a) Plan.--Section 520E-3 of the Public Health Service Act 
     (42 U.S.C. 290bb-36c) is amended--
       (1) by redesignating subsection (c) as subsection (e); and
       (2) by inserting after subsection (b) the following:
       ``(c) Plan.--
       ``(1) In general.--For purposes of maintaining the suicide 
     prevention hotline under subsection (b)(2), the Secretary 
     shall develop and implement a plan to ensure the provision of 
     high-quality service.
       ``(2) Contents.--The plan required by paragraph (1) shall 
     include the following:
       ``(A) Quality assurance provisions, including--
       ``(i) clearly defined and measurable performance indicators 
     and objectives to improve the responsiveness and performance 
     of the hotline, including at backup call centers; and
       ``(ii) quantifiable timeframes to track the progress of the 
     hotline in meeting such performance indicators and 
     objectives.
       ``(B) Standards that crisis centers and backup centers must 
     meet--
       ``(i) to participate in the network under subsection 
     (b)(1); and
       ``(ii) to ensure that each telephone call, online chat 
     message, and other communication received by the hotline, 
     including at backup call centers, is answered in a timely 
     manner by a person, consistent with the guidance established 
     by the American Association of Suicidology or other guidance 
     determined by the Secretary to be appropriate.
       ``(C) Guidelines for crisis centers and backup centers to 
     implement evidence-based practices including with respect to 
     followup and referral to other health and social services 
     resources.
       ``(D) Guidelines to ensure that resources are available and 
     distributed to individuals using the hotline who are not 
     personally in a time of crisis but know of someone who is.
       ``(E) Guidelines to carry out periodic testing of the 
     hotline, including at crisis centers and backup centers, 
     during each fiscal year to identify and correct any problems 
     in a timely manner.
       ``(F) Guidelines to operate in consultation with the State 
     department of health, local governments, Indian tribes, and 
     tribal organizations.
       ``(3) Initial plan; updates.--The Secretary shall--
       ``(A) not later than 6 months after the date of enactment 
     of the Suicide Prevention Lifeline Improvement Act of 2021, 
     complete development of the initial version of the plan 
     required by paragraph (1), begin implementation of such plan, 
     and make such plan publicly available; and
       ``(B) periodically thereafter, update such plan and make 
     the updated plan publicly available.''.
       (b) Transmission of Data to CDC.--Section 520E-3 of the 
     Public Health Service Act (42 U.S.C. 290bb-36c) is amended by 
     inserting after subsection (c) of such section, as added by 
     subsection (a) of this section, the following:
       ``(d) Transmission of Data to CDC.--The Secretary shall 
     formalize and strengthen agreements between the National 
     Suicide Prevention Lifeline program and the Centers for 
     Disease Control and Prevention to transmit any necessary 
     epidemiological data from the program to the Centers, 
     including local call center data, to assist the Centers in 
     suicide prevention efforts.''.
       (c) Authorization of Appropriations.--Subsection (e) of 
     section 520E-3 of the Public Health Service Act (42 U.S.C. 
     290bb-36c) is amended to read as follows:
       ``(e) Authorization of Appropriations.--
       ``(1) In general.--To carry out this section, there are 
     authorized to be appropriated $50,000,000 for each of fiscal 
     years 2022 through 2024.
       ``(2) Allocation.--Of the amount authorized to be 
     appropriated by paragraph (1) for each of fiscal years 2022 
     through 2024, at least 80 percent shall be made available to 
     crisis centers.''.

     SEC. 3. PILOT PROGRAM ON INNOVATIVE TECHNOLOGIES.

       (a) Pilot Program.--
       (1) In general.--The Secretary of Health and Human 
     Services, acting through the Assistant Secretary for Mental 
     Health and Substance Use, shall carry out a pilot program to 
     research, analyze, and employ various technologies and 
     platforms of communication (including social media platforms, 
     texting platforms, and email platforms) for suicide 
     prevention in addition to the telephone and online chat 
     service provided by the Suicide Prevention Lifeline.
       (2) Authorization of appropriations.--To carry out 
     paragraph (1), there is authorized to be appropriated 
     $5,000,000 for the period of fiscal years 2022 and 2023.
       (b) Report.--Not later than 24 months after the date on 
     which the pilot program under subsection (a) commences, the 
     Secretary of Health and Human Services, acting through the 
     Assistant Secretary for Mental Health and Substance Use, 
     shall submit to the Congress a report on the pilot program. 
     With respect to each platform of communication employed 
     pursuant to the pilot program, the report shall include--
       (1) a full description of the program;
       (2) the number of individuals served by the program;
       (3) the average wait time for each individual to receive a 
     response;
       (4) the cost of the program, including the cost per 
     individual served; and
       (5) any other information the Secretary determines 
     appropriate.

     SEC. 4. HHS STUDY AND REPORT.

       Not later than 24 months after the Secretary of Health and 
     Human Services begins implementation of the plan required by 
     section 520E-3(c) of the Public Health Service Act, as added 
     by section 2(a)(2) of this Act, the Secretary shall--
       (1) complete a study on--
       (A) the implementation of such plan, including the progress 
     towards meeting the objectives identified pursuant to 
     paragraph (2)(A)(i) of such section 520E-3(c) by the 
     timeframes identified pursuant to paragraph (2)(A)(ii) of 
     such section 520E-3(c); and
       (B) in consultation with the Director of the Centers for 
     Disease Control and Prevention, options to expand data 
     gathering from calls to the Suicide Prevention Lifeline in 
     order to better track aspects of usage such as repeat calls, 
     consistent with applicable Federal and State privacy laws; 
     and
       (2) submit a report to the Congress on the results of such 
     study, including recommendations on whether additional 
     legislation or appropriations are needed.

     SEC. 5. GAO STUDY AND REPORT.

       (a) In General.--Not later than 24 months after the 
     Secretary of Health and Human Services begins implementation 
     of the plan required by section 520E-3(c) of the Public 
     Health Service Act, as added by section 2(a)(2) of this Act, 
     the Comptroller General of the United States shall--
       (1) complete a study on the Suicide Prevention Lifeline; 
     and
       (2) submit a report to the Congress on the results of such 
     study.
       (b) Issues To Be Studied.--The study required by subsection 
     (a) shall address--
       (1) the feasibility of geolocating callers to direct calls 
     to the nearest crisis center;
       (2) operation shortcomings of the Suicide Prevention 
     Lifeline;
       (3) geographic coverage of each crisis call center;
       (4) the call answer rate of each crisis call center;
       (5) the call wait time of each crisis call center;
       (6) the hours of operation of each crisis call center;
       (7) funding avenues of each crisis call center;
       (8) the implementation of the plan under section 520E-3(c) 
     of the Public Health Service Act, as added by section 2(a) of 
     this Act, including the progress towards meeting the 
     objectives identified pursuant to paragraph (2)(A)(i) of such 
     section 520E-3(c) by the timeframes identified pursuant to 
     paragraph (2)(A)(ii) of such section 520E-3(c); and
       (9) service to individuals requesting a foreign language 
     speaker, including--
       (A) the number of calls or chats the Lifeline receives from 
     individuals speaking a foreign language;
       (B) the capacity of the Lifeline to handle these calls or 
     chats; and
       (C) the number of crisis centers with the capacity to serve 
     foreign language speakers, in house.
       (c) Recommendations.--The report required by subsection (a) 
     shall include recommendations for improving the Suicide

[[Page H2246]]

     Prevention Lifeline, including recommendations for 
     legislative and administrative actions.

     SEC. 6. DEFINITION.

       In this Act, the term ``Suicide Prevention Lifeline'' means 
     the suicide prevention hotline maintained pursuant to section 
     520E-3 of the Public Health Service Act (42 U.S.C. 290bb-
     36c).
  The SPEAKER pro tempore. Pursuant to House Resolution 380, the 
ordering of the yeas and nays on postponed motions to suspend the rules 
with respect to such measures is vacated to the end that all such 
motions are considered as withdrawn.
  The question is on the motion offered by the gentleman from Maryland 
(Mr. Hoyer) that the House suspend the rules and pass the bills.
  The question was taken.
  The SPEAKER pro tempore. In the opinion of the Chair, two-thirds 
being in the affirmative, the ayes have it.
  Mr. MOONEY. Mr. Speaker, on that I demand the yeas and nays.
  The SPEAKER pro tempore. Pursuant to section 3(s) of House Resolution 
8, the yeas and nays are ordered.
  The vote was taken by electronic device, and there were--yeas 349, 
nays 74, not voting 7, as follows:

                             [Roll No. 137]

                               YEAS--349

     Adams
     Aguilar
     Allred
     Amodei
     Armstrong
     Auchincloss
     Axne
     Bacon
     Baird
     Balderson
     Barr
     Barragan
     Bass
     Beatty
     Bentz
     Bera
     Bergman
     Beyer
     Bice (OK)
     Bilirakis
     Bishop (GA)
     Blumenauer
     Blunt Rochester
     Bonamici
     Bost
     Bourdeaux
     Bowman
     Boyle, Brendan F.
     Brady
     Brown
     Brownley
     Buchanan
     Bucshon
     Burgess
     Bush
     Bustos
     Butterfield
     Calvert
     Carbajal
     Cardenas
     Carl
     Carson
     Carter (GA)
     Carter (LA)
     Cartwright
     Case
     Casten
     Castor (FL)
     Castro (TX)
     Cawthorn
     Chabot
     Cheney
     Chu
     Cicilline
     Clark (MA)
     Clarke (NY)
     Cleaver
     Clyburn
     Cohen
     Cole
     Comer
     Connolly
     Cooper
     Correa
     Costa
     Courtney
     Craig
     Crenshaw
     Crist
     Crow
     Cuellar
     Curtis
     Davids (KS)
     Davis, Danny K.
     Davis, Rodney
     Dean
     DeFazio
     DeGette
     DeLauro
     DelBene
     Delgado
     Demings
     DeSaulnier
     Deutch
     Diaz-Balart
     Dingell
     Doggett
     Doyle, Michael F.
     Escobar
     Eshoo
     Espaillat
     Evans
     Feenstra
     Ferguson
     Fischbach
     Fitzgerald
     Fitzpatrick
     Fleischmann
     Fletcher
     Fortenberry
     Foster
     Frankel, Lois
     Franklin, C. Scott
     Gallagher
     Gallego
     Garamendi
     Garbarino
     Garcia (CA)
     Garcia (IL)
     Garcia (TX)
     Gibbs
     Gimenez
     Gomez
     Gonzales, Tony
     Gonzalez (OH)
     Gonzalez, Vicente
     Gottheimer
     Granger
     Graves (LA)
     Graves (MO)
     Green, Al (TX)
     Griffith
     Grijalva
     Guthrie
     Hagedorn
     Harder (CA)
     Hartzler
     Hayes
     Herrera Beutler
     Higgins (NY)
     Hill
     Himes
     Hinson
     Hollingsworth
     Horsford
     Houlahan
     Hoyer
     Hudson
     Huffman
     Issa
     Jackson Lee
     Jacobs (CA)
     Jacobs (NY)
     Jayapal
     Jeffries
     Johnson (GA)
     Johnson (OH)
     Johnson (SD)
     Johnson (TX)
     Jones
     Joyce (OH)
     Joyce (PA)
     Kahele
     Kaptur
     Katko
     Keating
     Keller
     Kelly (IL)
     Kelly (PA)
     Khanna
     Kildee
     Kilmer
     Kim (CA)
     Kim (NJ)
     Kind
     Kinzinger
     Kirkpatrick
     Krishnamoorthi
     Kuster
     Kustoff
     LaHood
     Lamb
     Langevin
     Larsen (WA)
     Larson (CT)
     Latta
     LaTurner
     Lawrence
     Lawson (FL)
     Lee (CA)
     Lee (NV)
     Leger Fernandez
     Letlow
     Levin (CA)
     Levin (MI)
     Lieu
     Lofgren
     Long
     Lowenthal
     Lucas
     Luetkemeyer
     Luria
     Lynch
     Mace
     Malinowski
     Malliotakis
     Maloney, Carolyn B.
     Maloney, Sean
     Manning
     Mast
     Matsui
     McBath
     McCarthy
     McCaul
     McClain
     McCollum
     McEachin
     McGovern
     McHenry
     McKinley
     McNerney
     Meeks
     Meijer
     Meng
     Meuser
     Mfume
     Miller (WV)
     Miller-Meeks
     Moolenaar
     Mooney
     Moore (UT)
     Moore (WI)
     Morelle
     Moulton
     Mrvan
     Mullin
     Murphy (NC)
     Nadler
     Napolitano
     Neal
     Neguse
     Nehls
     Newhouse
     Newman
     Norcross
     Nunes
     O'Halleran
     Obernolte
     Ocasio-Cortez
     Omar
     Owens
     Pallone
     Panetta
     Pappas
     Pascrell
     Payne
     Perlmutter
     Peters
     Phillips
     Pingree
     Pocan
     Porter
     Pressley
     Price (NC)
     Quigley
     Raskin
     Reed
     Reschenthaler
     Rice (NY)
     Rodgers (WA)
     Rogers (KY)
     Ross
     Roybal-Allard
     Ruiz
     Ruppersberger
     Rush
     Rutherford
     Ryan
     Salazar
     Sanchez
     Sarbanes
     Scalise
     Scanlon
     Schakowsky
     Schiff
     Schneider
     Schrader
     Schrier
     Schweikert
     Scott (VA)
     Scott, Austin
     Scott, David
     Sessions
     Sewell
     Sherman
     Simpson
     Sires
     Slotkin
     Smith (MO)
     Smith (NE)
     Smith (WA)
     Smucker
     Soto
     Spanberger
     Spartz
     Speier
     Stanton
     Stauber
     Steel
     Stefanik
     Steil
     Stevens
     Stewart
     Stivers
     Strickland
     Swalwell
     Takano
     Tenney
     Thompson (CA)
     Thompson (MS)
     Thompson (PA)
     Timmons
     Titus
     Tlaib
     Tonko
     Torres (CA)
     Torres (NY)
     Trahan
     Trone
     Turner
     Underwood
     Upton
     Valadao
     Van Drew
     Van Duyne
     Vargas
     Veasey
     Vela
     Velazquez
     Wagner
     Walberg
     Walorski
     Waltz
     Wasserman Schultz
     Waters
     Watson Coleman
     Welch
     Wenstrup
     Westerman
     Wexton
     Wild
     Williams (GA)
     Wilson (FL)
     Wilson (SC)
     Wittman
     Womack
     Yarmuth
     Young
     Zeldin

                                NAYS--74

     Aderholt
     Allen
     Arrington
     Babin
     Banks
     Biggs
     Bishop (NC)
     Boebert
     Brooks
     Buck
     Budd
     Burchett
     Cammack
     Carter (TX)
     Cline
     Cloud
     Clyde
     Crawford
     Davidson
     DesJarlais
     Donalds
     Duncan
     Emmer
     Estes
     Fallon
     Foxx
     Fulcher
     Gaetz
     Gohmert
     Good (VA)
     Gooden (TX)
     Gosar
     Green (TN)
     Greene (GA)
     Grothman
     Guest
     Harris
     Harshbarger
     Hern
     Herrell
     Hice (GA)
     Higgins (LA)
     Huizenga
     Jackson
     Johnson (LA)
     Jordan
     Kelly (MS)
     LaMalfa
     Lamborn
     Lesko
     Loudermilk
     Mann
     Massie
     McClintock
     Miller (IL)
     Moore (AL)
     Norman
     Palazzo
     Palmer
     Pence
     Perry
     Pfluger
     Posey
     Rice (SC)
     Rogers (AL)
     Rose
     Rosendale
     Rouzer
     Roy
     Steube
     Taylor
     Tiffany
     Weber (TX)
     Williams (TX)

                             NOT VOTING--7

     Dunn
     Golden
     Murphy (FL)
     Sherrill
     Smith (NJ)
     Suozzi
     Webster (FL)

                              {time}  1657

  Mr. BANKS changed his vote from ``yea'' to ``nay.''
  So (two-thirds being in the affirmative) the rules were suspended and 
the bills were passed.
  The result of the vote was announced as above recorded.
  A motion to reconsider was laid on the table.


    MEMBERS RECORDED PURSUANT TO HOUSE RESOLUTION 8, 117TH CONGRESS

     Allred (Stevens)
     Cardenas (Gallego)
     Crenshaw (Pfluger)
     Eshoo (Thompson (CA))
     Fallon (Joyce (OH))
     Grijalva (Garcia (IL))
     Johnson (TX) (Jeffries)
     Kirkpatrick (Stanton)
     Lawson (FL) (Evans)
     Lieu (Beyer)
     Lofgren (Jeffries)
     Lowenthal (Beyer)
     McEachin (Wexton)
     Meng (Clark (MA))
     Mfume (Connolly)
     Moore (WI) (Beyer)
     Napolitano (Correa)
     Owens (Stewart)
     Payne (Pallone)
     Porter (Wexton)
     Ruiz (Aguilar)
     Ruppersberger (Raskin)
     Rush (Underwood)
     Sewell (DelBene)
     Strickland (DelBene)
     Torres (CA) (Barragan)
     Wilson (FL) (Hayes)

                          ____________________