[Congressional Record (Bound Edition), Volume 150 (2004), Part 13]
[Senate]
[Pages 18055-18058]
[From the U.S. Government Publishing Office, www.gpo.gov]




                     GARRETT LEE SMITH MEMORIAL ACT

  On Thursday, September 9, 2004, upon receipt from the House, the 
Senate passed S. 2634, as amended, as follows:

       Amendments:
       Strike out all after the enacting clause and insert:

     SECTION 1. SHORT TITLE.

       This Act may be cited as the ``Garrett Lee Smith Memorial 
     Act''.

     SEC. 2. FINDINGS.

       Congress makes the following findings:
       (1) More children and young adults die from suicide each 
     year than from cancer, heart disease, AIDS, birth defects, 
     stroke, and chronic lung disease combined.
       (2) Over 4,000 children and young adults tragically take 
     their lives every year, making suicide the third overall 
     cause of death between the ages of 10 and 24. According to 
     the Centers for Disease Control and Prevention, suicide is 
     the third overall cause of death among college-age students.
       (3) According to the National Center for Injury Prevention 
     and Control of the Centers for Disease Control and 
     Prevention, children and young adults accounted for 15 
     percent of all suicides completed in 2000.
       (4) From 1952 to 1995, the rate of suicide in children and 
     young adults tripled.
       (5) From 1980 to 1997, the rate of suicide among young 
     adults ages 15 to 19 increased 11 percent.
       (6) From 1980 to 1997, the rate of suicide among children 
     ages 10 to 14 increased 109 percent.
       (7) According to the National Center of Health Statistics, 
     suicide rates among Native Americans range from 1.5 to 3 
     times the national average for other groups, with young 
     people ages 15 to 34 making up 64 percent of all suicides.
       (8) Congress has recognized that youth suicide is a public 
     health tragedy linked to underlying mental health problems 
     and that youth suicide early intervention and prevention 
     activities are national priorities.
       (9) Youth suicide early intervention and prevention have 
     been listed as urgent public health priorities by the 
     President's New Freedom Commission in Mental Health (2002), 
     the Institute of Medicine's Reducing Suicide: A National 
     Imperative (2002), the National Strategy for Suicide 
     Prevention: Goals and Objectives for Action (2001), and the 
     Surgeon General's Call to Action To Prevent Suicide (1999).
       (10) Many States have already developed comprehensive 
     statewide youth suicide early intervention and prevention 
     strategies that seek to provide effective early intervention 
     and prevention services.
       (11) In a recent report, a startling 85 percent of college 
     counseling centers revealed an increase in the number of 
     students they see with psychological problems. Furthermore, 
     the American College Health Association found that 61 percent 
     of college students reported feeling hopeless, 45 percent 
     said they felt so depressed they could barely function, and 9 
     percent felt suicidal.
       (12) There is clear evidence of an increased incidence of 
     depression among college students. According to a survey 
     described in the Chronicle of Higher Education (February 1, 
     2002), depression among freshmen has nearly doubled (from 8.2 
     percent to 16.3 percent). Without treatment, researchers 
     recently noted that ``depressed adolescents are at risk for 
     school failure, social isolation, promiscuity, self-
     medication with drugs and alcohol, and suicide--now the third 
     leading cause of death among 10-24 year olds.''.
       (13) Researchers who conducted the study ``Changes in 
     Counseling Center Client Problems Across 13 Years'' (1989-
     2001) at Kansas State University stated that ``students are 
     experiencing more stress, more anxiety, more depression than 
     they were a decade ago.'' (The Chronicle of Higher Education, 
     February 14, 2003).
       (14) According to the 2001 National Household Survey on 
     Drug Abuse, 20 percent of full-time undergraduate college 
     students use illicit drugs.
       (15) The 2001 National Household Survey on Drug Abuse also 
     reported that 18.4 percent of adults aged 18 to 24 are 
     dependent on or abusing illicit drugs or alcohol. In 
     addition, the study found that ``serious mental illness is 
     highly correlated with substance dependence or abuse. Among 
     adults with serious mental illness in 2001, 20.3 percent were 
     dependent on or abused alcohol or illicit drugs, while the 
     rate among adults without serious mental illness was only 6.3 
     percent.''.
       (16) A 2003 Gallagher's Survey of Counseling Center 
     Directors found that 81 percent were concerned about the 
     increasing number of students with more serious psychological 
     problems, 67 percent reported a need for more psychiatric 
     services, and 63 percent reported problems with growing 
     demand for services without an appropriate increase in 
     resources.
       (17) The International Association of Counseling Services 
     accreditation standards recommend 1 counselor per 1,000 to 
     1,500 students. According to the 2003 Gallagher's Survey of 
     Counseling Center Directors, the ratio of counselors to 
     students is as high as 1 counselor per 2,400 students at 
     institutions of higher education with more than 15,000 
     students.

     SEC. 3. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT.

       (a) Youth Interagency Research, Training, and Technical 
     Assistance Centers.--Section 520C of the Public Health 
     Service Act (42 U.S.C. 290bb-34) is amended--
       (1) in subsection (a)--
       (A) by striking ``Health, shall award grants'' and 
     inserting ``Health--
       ``(1) shall award grants'';

[[Page 18056]]

       (B) by striking the period at the end and inserting ``; 
     and''; and
       (C) by adding at the end the following:
       ``(2) shall award a competitive grant to 1 additional 
     research, training, and technical assistance center to carry 
     out the activities described in subsection (d).'';
       (2) in subsection (c), in the matter preceding paragraph 
     (1), by striking ``grant or contract under subsection (a)'' 
     and inserting ``grant or contract under subsection (a)(1)'';
       (3) in subsection (d)--
       (A) by striking ``Appropriations.--For the purpose of 
     carrying out this section'' and inserting ``Appropriations.--
       ``(1) For the purpose of awarding grants or contracts under 
     subsection (a)(1)''; and
       (B) by adding at the end the following:
       ``(2) For the purpose of awarding a grant under subsection 
     (a)(2), there are authorized to be appropriated $3,000,000 
     for fiscal year 2005, $4,000,000 for fiscal year 2006, and 
     $5,000,000 for fiscal year 2007.'';
       (4) by redesignating subsection (d) as subsection (e); and
       (5) by inserting after subsection (c) the following:
       ``(d) Additional Center.--The additional research, 
     training, and technical assistance center established under 
     subsection (a)(2) shall provide appropriate information, 
     training, and technical assistance to States, political 
     subdivisions of a State, Federally recognized Indian tribes, 
     tribal organizations, institutions of higher education, 
     public organizations, or private nonprofit organizations 
     for--
       ``(1) the development or continuation of statewide or 
     tribal youth suicide early intervention and prevention 
     strategies;
       ``(2) ensuring the surveillance of youth suicide early 
     intervention and prevention strategies;
       ``(3) studying the costs and effectiveness of statewide 
     youth suicide early intervention and prevention strategies in 
     order to provide information concerning relevant issues of 
     importance to State, tribal, and national policymakers;
       ``(4) further identifying and understanding causes and 
     associated risk factors for youth suicide;
       ``(5) analyzing the efficacy of new and existing youth 
     suicide early intervention techniques and technology;
       ``(6) ensuring the surveillance of suicidal behaviors and 
     nonfatal suicidal attempts;
       ``(7) studying the effectiveness of State-sponsored 
     statewide and tribal youth suicide early intervention and 
     prevention strategies on the overall wellness and health 
     promotion strategies related to suicide attempts;
       ``(8) promoting the sharing of data regarding youth suicide 
     with Federal agencies involved with youth suicide early 
     intervention and prevention, and State-sponsored statewide or 
     tribal youth suicide early intervention and prevention 
     strategies for the purpose of identifying previously unknown 
     mental health causes and associated risk factors for suicide 
     in youth;
       ``(9) evaluating and disseminating outcomes and best 
     practices of mental and behavioral health services at 
     institutions of higher education; and
       ``(10) other activities determined appropriate by the 
     Secretary.''.
       (b) Suicide Prevention for Youth.--Title V of the Public 
     Health Service Act (42 U.S.C. 290aa et seq.) is amended--
       (1) in section 520E (42 U.S.C. 290bb-36)--
       (A) in the section heading by striking ``CHILDREN AND 
     ADOLESCENTS'' and inserting ``YOUTH'';
       (B) by striking subsection (a) and inserting the following:
       ``(a) In General.--The Secretary shall award grants or 
     cooperative agreements to public organizations, private 
     nonprofit organizations, political subdivisions, consortia of 
     political subdivisions, consortia of States, or Federally 
     recognized Indian tribes or tribal organizations to design 
     early intervention and prevention strategies that will 
     complement the State-sponsored statewide or tribal youth 
     suicide early intervention and prevention strategies 
     developed pursuant to section 520E.'';
       (C) in subsection (b), by striking all after 
     ``coordinated'' and inserting ``with the relevant Department 
     of Health and Human Services agencies and suicide working 
     groups.'';
       (D) in subsection (c)--
       (i) in the matter preceding paragraph (1), by striking ``A 
     State'' and all that follows through ``desiring'' and 
     inserting ``A public organization, private nonprofit 
     organization, political subdivision, consortium of political 
     subdivisions, consortium of States, or federally recognized 
     Indian tribe or tribal organization desiring'';
       (ii) by redesignating paragraphs (1) through (9) as 
     paragraphs (2) through (10), respectively;
       (iii) by inserting before paragraph (2) (as so 
     redesignated) the following:
       ``(1)(A) comply with the State-sponsored statewide early 
     intervention and prevention strategy as developed under 
     section 520E; and
       ``(B) in the case of a consortium of States, receive the 
     support of all States involved;'';
       (iv) in paragraph (2) (as so redesignated), by striking 
     ``children and adolescents'' and inserting ``youth'';
       (v) in paragraph (3) (as so redesignated), by striking 
     ``best evidence-based,'';
       (vi) in paragraph (4) (as so redesignated), by striking 
     ``primary'' and all that follows and inserting ``general, 
     mental, and behavioral health services, and substance abuse 
     services;'';
       (vii) in paragraph (5) (as so redesignated), by striking 
     ``children and'' and all that follows and inserting ``youth 
     including the school systems, educational institutions, 
     juvenile justice system, substance abuse programs, mental 
     health programs, foster care systems, and community child and 
     youth support organizations;'';
       (viii) by striking paragraph (8) (as so redesignated) and 
     inserting the following:
       ``(8) offer access to services and care to youth with 
     diverse linguistic and cultural backgrounds;''; and
       (ix) by striking paragraph (9) (as so redesignated) and 
     inserting the following:
       ``(9) conduct annual self-evaluations of outcomes and 
     activities, including consulting with interested families and 
     advocacy organizations;'';
       (E) by striking subsection (d) and inserting the following:
       ``(d) Use of Funds.--Amounts provided under a grant or 
     cooperative agreement under this section shall be used to 
     supplement, and not supplant, Federal and non-Federal funds 
     available for carrying out the activities described in this 
     section. Applicants shall provide financial information to 
     demonstrate compliance with this section.'';
       (F) in subsection (e)--
       (i) by striking ``, contract,''; and
       (ii) by inserting after ``Secretary that the'' the 
     following: ``application complies with the State-sponsored 
     statewide early intervention and prevention strategy as 
     developed under section 520E and the'';
       (G) in subsection (f), by striking ``, contracts,'';
       (H) in subsection (g)--
       (i) by striking ``A State'' and all that follows through 
     ``organization receiving'' and inserting ``A public 
     organization, private nonprofit organization, political 
     subdivision, consortium of political subdivisions, consortium 
     of States, or Federally recognized Indian tribe or tribal 
     organization receiving''; and
       (ii) by striking ``, contract,'' each place such term 
     appears;
       (I) in subsection (h), by striking ``, contracts,'';
       (J) in subsection (i)--
       (i) by striking ``A State'' and all that follows through 
     ``organization receiving'' and inserting ``A public 
     organization, private nonprofit organization, political 
     subdivision, consortium of political subdivisions, consortium 
     of States, or Federally recognized Indian tribe or tribal 
     organization receiving''; and
       (ii) by striking ``, contract,'';
       (K) in subsection (k), by striking ``5 years'' and 
     inserting ``3 years'';
       (L) in subsection (l)--
       (i) in paragraph (2), by striking ``21'' and inserting 
     ``24''; and
       (ii) in paragraph (3), by striking ``which might have 
     been'';
       (M) in subsection (m)--
       (i) by striking ``Appropriation.--'' and all that follows 
     through ``For'' in paragraph (1) and inserting 
     ``Appropriation.--For''; and
       (ii) by striking paragraph (2);
       (N) by redesignating subsection (m) as subsection (n); and
       (O) by inserting after subsection (l) the following:
       ``(m) Definitions.--In this section, the terms `early 
     intervention', `educational institution', `institution of 
     higher education', `prevention', `school', and `youth' have 
     the meanings given to those terms in section 520E.''; and
       (2) by redesignating section 520E as section 520E-1.
       (c) Youth Suicide and Early Intervention and Prevention 
     Strategies.--Title V of the Public Health Service Act (42 
     U.S.C. 290aa et seq.) is amended by inserting before section 
     520E-1 (as redesignated by subsection (b)) the following:

     ``SEC. 520E. YOUTH SUICIDE EARLY INTERVENTION AND PREVENTION 
                   STRATEGIES.

       ``(a) In General.--The Secretary, acting through the 
     Administrator of the Substance Abuse and Mental Health 
     Services Administration, shall award grants or cooperative 
     agreements to eligible entities to--
       ``(1) develop and implement State-sponsored statewide or 
     tribal youth suicide early intervention and prevention 
     strategies in schools, educational institutions, juvenile 
     justice systems, substance abuse programs, mental health 
     programs, foster care systems, and other child and youth 
     support organizations;
       ``(2) support public organizations and private nonprofit 
     organizations actively involved in State-sponsored statewide 
     or tribal youth suicide early intervention and prevention 
     strategies and in the development and continuation of State-
     sponsored statewide youth suicide early intervention and 
     prevention strategies;
       ``(3) provide grants to institutions of higher education to 
     coordinate the implementation of State-sponsored statewide or 
     tribal youth suicide early intervention and prevention 
     strategies;
       ``(4) collect and analyze data on State-sponsored statewide 
     or tribal youth suicide early intervention and prevention 
     services that can be used to monitor the effectiveness of 
     such services and for research, technical assistance, and 
     policy development; and
       ``(5) assist eligible entities, through State-sponsored 
     statewide or tribal youth suicide early intervention and 
     prevention strategies, in achieving targets for youth suicide 
     reductions under title V of the Social Security Act.
       ``(b) Eligible Entity.--
       ``(1) Definition.--In this section, the term `eligible 
     entity' means--
       ``(A) a State;

[[Page 18057]]

       ``(B) a public organization or private nonprofit 
     organization designated by a State to develop or direct the 
     State-sponsored statewide youth suicide early intervention 
     and prevention strategy; or
       ``(C) a Federally recognized Indian tribe or tribal 
     organization (as defined in the Indian Self-Determination and 
     Education Assistance Act) or an urban Indian organization (as 
     defined in the Indian Health Care Improvement Act) that is 
     actively involved in the development and continuation of a 
     tribal youth suicide early intervention and prevention 
     strategy.
       ``(2) Limitation.--In carrying out this section, the 
     Secretary shall ensure that each State is awarded only 1 
     grant or cooperative agreement under this section. For 
     purposes of the preceding sentence, a State shall be 
     considered to have been awarded a grant or cooperative 
     agreement if the eligible entity involved is the State or an 
     entity designated by the State under paragraph (1)(B). 
     Nothing in this paragraph shall be construed to apply to 
     entities described in paragraph (1)(C).
       ``(c) Preference.--In providing assistance under a grant or 
     cooperative agreement under this section, an eligible entity 
     shall give preference to public organizations, private 
     nonprofit organizations, political subdivisions, institutions 
     of higher education, and tribal organizations actively 
     involved with the State-sponsored statewide or tribal youth 
     suicide early intervention and prevention strategy that--
       ``(1) provide early intervention and assessment services, 
     including screening programs, to youth who are at risk for 
     mental or emotional disorders that may lead to a suicide 
     attempt, and that are integrated with school systems, 
     educational institutions, juvenile justice systems, substance 
     abuse programs, mental health programs, foster care systems, 
     and other child and youth support organizations;
       ``(2) demonstrate collaboration among early intervention 
     and prevention services or certify that entities will engage 
     in future collaboration;
       ``(3) employ or include in their applications a commitment 
     to evaluate youth suicide early intervention and prevention 
     practices and strategies adapted to the local community;
       ``(4) provide timely referrals for appropriate community-
     based mental health care and treatment of youth who are at 
     risk for suicide in child-serving settings and agencies;
       ``(5) provide immediate support and information resources 
     to families of youth who are at risk for suicide;
       ``(6) offer access to services and care to youth with 
     diverse linguistic and cultural backgrounds;
       ``(7) offer appropriate postsuicide intervention services, 
     care, and information to families, friends, schools, 
     educational institutions, juvenile justice systems, substance 
     abuse programs, mental health programs, foster care systems, 
     and other child and youth support organizations of youth who 
     recently completed suicide;
       ``(8) offer continuous and up-to-date information and 
     awareness campaigns that target parents, family members, 
     child care professionals, community care providers, and the 
     general public and highlight the risk factors associated with 
     youth suicide and the life-saving help and care available 
     from early intervention and prevention services;
       ``(9) ensure that information and awareness campaigns on 
     youth suicide risk factors, and early intervention and 
     prevention services, use effective communication mechanisms 
     that are targeted to and reach youth, families, schools, 
     educational institutions, and youth organizations;
       ``(10) provide a timely response system to ensure that 
     child-serving professionals and providers are properly 
     trained in youth suicide early intervention and prevention 
     strategies and that child-serving professionals and providers 
     involved in early intervention and prevention services are 
     properly trained in effectively identifying youth who are at 
     risk for suicide;
       ``(11) provide continuous training activities for child 
     care professionals and community care providers on the latest 
     youth suicide early intervention and prevention services 
     practices and strategies;
       ``(12) conduct annual self-evaluations of outcomes and 
     activities, including consulting with interested families and 
     advocacy organizations;
       ``(13) provide services in areas or regions with rates of 
     youth suicide that exceed the national average as determined 
     by the Centers for Disease Control and Prevention; and
       ``(14) obtain informed written consent from a parent or 
     legal guardian of an at-risk child before involving the child 
     in a youth suicide early intervention and prevention program.
       ``(d) Requirement for Direct Services.--Not less than 85 
     percent of grant funds received under this section shall be 
     used to provide direct services, of which not less than 5 
     percent shall be used for activities authorized under 
     subsection (a)(3).
       ``(e) Coordination and Collaboration.--
       ``(1) In general.--In carrying out this section, the 
     Secretary shall collaborate with relevant Federal agencies 
     and suicide working groups responsible for early intervention 
     and prevention services relating to youth suicide.
       ``(2) Consultation.--In carrying out this section, the 
     Secretary shall consult with--
       ``(A) State and local agencies, including agencies 
     responsible for early intervention and prevention services 
     under title XIX of the Social Security Act, the State 
     Children's Health Insurance Program under title XXI of the 
     Social Security Act, and programs funded by grants under 
     title V of the Social Security Act;
       ``(B) local and national organizations that serve youth at 
     risk for suicide and their families;
       ``(C) relevant national medical and other health and 
     education specialty organizations;
       ``(D) youth who are at risk for suicide, who have survived 
     suicide attempts, or who are currently receiving care from 
     early intervention services;
       ``(E) families and friends of youth who are at risk for 
     suicide, who have survived suicide attempts, who are 
     currently receiving care from early intervention and 
     prevention services, or who have completed suicide;
       ``(F) qualified professionals who possess the specialized 
     knowledge, skills, experience, and relevant attributes needed 
     to serve youth at risk for suicide and their families; and
       ``(G) third-party payers, managed care organizations, and 
     related commercial industries.
       ``(3) Policy development.--In carrying out this section, 
     the Secretary shall--
       ``(A) coordinate and collaborate on policy development at 
     the Federal level with the relevant Department of Health and 
     Human Services agencies and suicide working groups; and
       ``(B) consult on policy development at the Federal level 
     with the private sector, including consumer, medical, suicide 
     prevention advocacy groups, and other health and education 
     professional-based organizations, with respect to State-
     sponsored statewide or tribal youth suicide early 
     intervention and prevention strategies.
       ``(f) Rule of Construction; Religious and Moral 
     Accommodation.--Nothing in this section shall be construed to 
     require suicide assessment, early intervention, or treatment 
     services for youth whose parents or legal guardians object 
     based on the parents' or legal guardians' religious beliefs 
     or moral objections.
       ``(g) Evaluations and Report.--
       ``(1) Evaluations by eligible entities.--Not later than 18 
     months after receiving a grant or cooperative agreement under 
     this section, an eligible entity shall submit to the 
     Secretary the results of an evaluation to be conducted by the 
     entity concerning the effectiveness of the activities carried 
     out under the grant or agreement.
       ``(2) Report.--Not later than 2 years after the date of 
     enactment of this section, the Secretary shall submit to the 
     appropriate committees of Congress a report concerning the 
     results of--
       ``(A) the evaluations conducted under paragraph (1); and
       ``(B) an evaluation conducted by the Secretary to analyze 
     the effectiveness and efficacy of the activities conducted 
     with grants, collaborations, and consultations under this 
     section.
       ``(h) Rule of Construction; Student Medication.--Nothing in 
     this section or section 520E-1 shall be construed to allow 
     school personnel to require that a student obtain any 
     medication as a condition of attending school or receiving 
     services.
       ``(i) Prohibition.--Funds appropriated to carry out this 
     section, section 520C, section 520E-1, or section 520E-2 
     shall not be used to pay for or refer for abortion.
       ``(j) Parental consent.--States and entities receiving 
     funding under this section and section 520E-1 shall obtain 
     prior written, informed consent from the child's parent or 
     legal guardian for assessment services, school-sponsored 
     programs, and treatment involving medication related to youth 
     suicide conducted in elementary and secondary schools. The 
     requirement of the preceding sentence does not apply in the 
     following cases:
       ``(1) In an emergency, where it is necessary to protect the 
     immediate health and safety of the student or other students.
       ``(2) Other instances, as defined by the State, where 
     parental consent cannot reasonably be obtained.
       ``(k) Relation to Education Provisions.--Nothing in this 
     section or section 520E-1 shall be construed to supersede 
     section 444 of the General Education Provisions Act, 
     including the requirement of prior parental consent for the 
     disclosure of any education records. Nothing in this section 
     or section 520E-1 shall be construed to modify or affect 
     parental notification requirements for programs authorized 
     under the Elementary and Secondary Education Act of 1965 (as 
     amended by the No Child Left Behind Act of 2001; Public Law 
     107-110).
       ``(l) Definitions.--In this section:
       ``(1) Early intervention.--The term `early intervention' 
     means a strategy or approach that is intended to prevent an 
     outcome or to alter the course of an existing condition.
       ``(2) Educational institution; institution of higher 
     education; school.--The term--
       ``(A) `educational institution' means a school or 
     institution of higher education;
       ``(B) `institution of higher education' has the meaning 
     given such term in section 101 of the Higher Education Act of 
     1965; and
       ``(C) `school' means an elementary or secondary school (as 
     such terms are defined in section 9101 of the Elementary and 
     Secondary Education Act of 1965).
       ``(3) Prevention.--The term `prevention' means a strategy 
     or approach that reduces the likelihood or risk of onset, or 
     delays the onset, of adverse health problems that have been 
     known to lead to suicide.
       ``(4) Youth.--The term `youth' means individuals who are 
     between 10 and 24 years of age.
       ``(m) Authorization of Appropriations.--
       ``(1) In general.--For the purpose of carrying out this 
     section, there are authorized to be appropriated $7,000,000 
     for fiscal year 2005, $18,000,000 for fiscal year 2006, and 
     $30,000,000 for fiscal year 2007.

[[Page 18058]]

       ``(2) Preference.--If less than $3,500,000 is appropriated 
     for any fiscal year to carry out this section, in awarding 
     grants and cooperative agreements under this section during 
     the fiscal year, the Secretary shall give preference to 
     States that have rates of suicide that significantly exceed 
     the national average as determined by the Centers for Disease 
     Control and Prevention.''.
       (d) Mental and Behavioral Health Services on Campus.--Title 
     V of the Public Health Service Act (42 U.S.C. 290aa et seq.) 
     is amended by inserting after section 520E-1 (as redesignated 
     by subsection (b)) the following:

     ``SEC. 520E-2. MENTAL AND BEHAVIORAL HEALTH SERVICES ON 
                   CAMPUS.

       ``(a) In General.--The Secretary, acting through the 
     Director of the Center for Mental Health Services, in 
     consultation with the Secretary of Education, may award 
     grants on a competitive basis to institutions of higher 
     education to enhance services for students with mental and 
     behavioral health problems that can lead to school failure, 
     such as depression, substance abuse, and suicide attempts, so 
     that students will successfully complete their studies.
       ``(b) Use of Funds.--The Secretary may not make a grant to 
     an institution of higher education under this section unless 
     the institution agrees to use the grant only for--
       ``(1) educational seminars;
       ``(2) the operation of hot lines;
       ``(3) preparation of informational material;
       ``(4) preparation of educational materials for families of 
     students to increase awareness of potential mental and 
     behavioral health issues of students enrolled at the 
     institution of higher education;
       ``(5) training programs for students and campus personnel 
     to respond effectively to students with mental and behavioral 
     health problems that can lead to school failure, such as 
     depression, substance abuse, and suicide attempts; or
       ``(6) the creation of a networking infrastructure to link 
     colleges and universities that do not have mental health 
     services with health care providers who can treat mental and 
     behavioral health problems.
       ``(c) Eligible grant recipients.--Any institution of higher 
     education receiving a grant under this section may carry out 
     activities under the grant through--
       ``(1) college counseling centers;
       ``(2) college and university psychological service centers;
       ``(3) mental health centers;
       ``(4) psychology training clinics; or
       ``(5) institution of higher education supported, evidence-
     based, mental health and substance abuse programs.
       ``(d) Application.--An institution of higher education 
     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 mental and behavioral 
     health needs of students at the institution of higher 
     education.
       ``(2) A description of Federal, State, local, private, and 
     institutional resources currently available to address the 
     needs described in paragraph (1) at the institution of higher 
     education.
       ``(3) A description of the outreach strategies of the 
     institution of higher education for promoting access to 
     services, including a proposed plan for reaching those 
     students most in need of mental health services.
       ``(4) A plan to evaluate program outcomes, including a 
     description of the proposed use of funds, the program 
     objectives, and how the objectives will be met.
       ``(5) An assurance that the institution will submit a 
     report to the Secretary each fiscal year on the activities 
     carried out with the grant and the results achieved through 
     those activities.
       ``(e) Requirement of Matching Funds.--
       ``(1) In general.--The Secretary may make a grant under 
     this section to an institution of higher education only if 
     the institution agrees to make available (directly or through 
     donations from public or private entities) non-Federal 
     contributions in an amount that is not less than $1 for each 
     $1 of Federal funds provided in the grant, toward the costs 
     of activities carried out with the grant (as described in 
     subsection (b)) and other activities by the institution to 
     reduce student mental and behavioral health problems.
       ``(2) Determination of amount contributed.--Non-Federal 
     contributions required under paragraph (1) may be in cash or 
     in kind. Amounts provided by the Federal Government, or 
     services assisted or subsidized to any significant extent by 
     the Federal Government, may not be included in determining 
     the amount of such non-Federal contributions.
       ``(3) Waiver.--The Secretary may waive the requirement 
     established in paragraph (1) with respect to an institution 
     of higher education if the Secretary determines that 
     extraordinary need at the institution justifies the waiver.
       ``(f) Reports.--For each fiscal year that grants are 
     awarded under this section, the Secretary shall conduct a 
     study on the results of the grants and submit to the Congress 
     a report on such results that includes the following:
       ``(1) An evaluation of the grant program outcomes, 
     including a summary of activities carried out with the grant 
     and the results achieved through those activities.
       ``(2) Recommendations on how to improve access to mental 
     and behavioral health services at institutions of higher 
     education, including efforts to reduce the incidence of 
     suicide and substance abuse.
       ``(g) Definition.--In this section, the term `institution 
     of higher education' has the meaning given such term in 
     section 101 of the Higher Education Act of 1965.
       ``(h) Authorization of Appropriations.--For the purpose of 
     carrying out this section, there are authorized to be 
     appropriated $5,000,000 for fiscal year 2005, $5,000,000 for 
     fiscal year 2006, and $5,000,000 for fiscal year 2007.''.
         Amend the title so as to read: ``A bill to amend the 
     Public Health Service Act to support the planning, 
     implementation, and evaluation of organized activities 
     involving statewide youth suicide early intervention and 
     prevention strategies, to authorize grants to institutions of 
     higher education to reduce student mental and behavioral 
     health problems, and for other purposes.''.

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