[House Report 117-383]
[From the U.S. Government Publishing Office]


117th Congress    }                                    {      Report
                        HOUSE OF REPRESENTATIVES
 2d Session       }                                    {      117-383

======================================================================

 
ENHANCING MENTAL HEALTH AND SUICIDE PREVENTION THROUGH CAMPUS PLANNING 
                                  ACT

                                _______
                                

 June 23, 2022.--Committed to the Committee of the Whole House on the 
              State of the Union and ordered to be printed

                                _______
                                

   Mr. Scott of Virginia, from the Committee on Education and Labor, 
                        submitted the following

                              R E P O R T

                        [To accompany H.R. 5407]

      [Including cost estimate of the Congressional Budget Office]

    The Committee on Education and Labor, to whom was referred 
the bill (H.R. 5407) to amend the Higher Education Act of 1965 
to promote comprehensive campus mental health and suicide 
prevention plans, and for other purposes, having considered the 
same, reports favorably thereon with an amendment and 
recommends that the bill as amended do pass.

                                CONTENTS

                                                                   Page
Purpose and Summary..............................................     2
Committee Action.................................................     3
Committee Views..................................................     4
Section-by-Section Analysis......................................     7
Explanation of Amendments........................................     8
Application of Law to the Legislative Branch.....................     8
Unfunded Mandate Statement.......................................     8
Earmark Statement................................................     8
Roll Call Votes..................................................     8
Statement of Performance Goals and Objectives....................     8
Duplication of Federal Programs..................................     8
Hearings.........................................................     8
Statement of Oversight Findings and Recommendations of the 
  Committee......................................................     9
New Budget Authority and CBO Cost Estimate.......................     9
Committee Cost Estimate..........................................    10
Changes in Existing Law Made by the Bill, as Reported............    10

    The amendment is as follows:
    Strike all after the enacting clause and insert the 
following:

SECTION 1. SHORT TITLE.

  This Act may be cited as the ``Enhancing Mental Health and Suicide 
Prevention Through Campus Planning Act''.

SEC. 2. ENCOURAGING CAMPUS COMPREHENSIVE MENTAL HEALTH AND SUICIDE 
                    PREVENTION PLANS.

  Part L of title VIII of the Higher Education Act of 1965 (20 U.S.C. 
1161l et seq.) is amended--
          (1) by redesignating section 826 as section 827; and
          (2) by inserting after section 825 the following new section:

``SEC. 826. ENCOURAGING CAMPUS COMPREHENSIVE MENTAL HEALTH AND SUICIDE 
                    PREVENTION PLANS.

  ``(a) In General.--The Secretary shall make efforts to encourage 
institutions of higher education to develop and implement evidence-
based comprehensive campus mental health and suicide prevention plans. 
Such efforts--
          ``(1) shall be conducted in coordination with the Secretary 
        of Health and Human Services (acting through the Assistant 
        Secretary for Mental Health and Substance Use);
          ``(2) shall align with--
                  ``(A) the efforts and approaches recommended by the 
                Suicide Prevention Resource Center;
                  ``(B) the programs authorized under section 9032 of 
                the 21st Century Cures Act (42 U.S.C. 290bb-36b note; 
                Public Law 114-255), the amendments made by section 
                9031 of such Act to section 520E-2 of the Public Health 
                Service Act (42 U.S.C. 290bb-36b), and the amendment 
                made by section 9033 of such Act to part D of title V 
                of the Public Health Service Act (42 U.S.C. 290dd et 
                seq.); and
                  ``(C) the programs authorized under the Garrett Lee 
                Smith Memorial Act (42 U.S.C. 201 note; Public Law 108-
                355);
          ``(3) shall take into consideration existing Federal and 
        State efforts to address mental health and suicide prevention 
        at institutions of higher education; and
          ``(4) may be carried out in collaboration with nonprofit 
        organizations, community-based organizations that partner with 
        institutions of higher education, and other experts and 
        stakeholders in the field of campus mental health and suicide 
        prevention.
  ``(b) Reports.--The Secretary shall report to the Committee on 
Education and Labor of the House of Representatives and the Committee 
on Health, Education, Labor, and Pensions of the Senate on the efforts 
of the Secretary carried out under this section--
          ``(1) not later than one year after the date of enactment of 
        the Enhancing Mental Health and Suicide Prevention Through 
        Campus Planning Act; and
          ``(2) three years after the date of enactment of such Act.
  ``(c) Construction.--Nothing in this section shall be construed as 
creating new statutory requirements for institutions of higher 
education or granting the Secretary new regulatory authority.''.

                          Purpose and Summary

    The purpose of H.R. 5407, the bipartisan Enhancing Mental 
Health and Suicide Prevention Through Campus Planning Act, is 
to encourage institutions of higher education (IHEs) to develop 
a comprehensive mental health and suicide prevention plan to 
better support college students. H.R. 5407 directs the 
Secretary of Education (Secretary), in coordination with the 
Secretary of Health and Human Services (HHS), to make efforts 
to encourage IHEs to develop and implement comprehensive campus 
mental health and suicide prevention plans. These plans must 
align with approaches recommended by the Suicide Prevention 
Resource Center, programs authorized under section 9032 of the 
21st Century Cures Act, programs authorized under the Garrett 
Lee Smith Memorial Act, and other existing federal and state 
efforts to address mental health. The legislation also requires 
the Secretary to report to the House Committee on Education and 
Labor and the Senate Committee on Health, Education, Labor and 
Pensions on the efforts carried out under the bill.

                            Committee Action


                             116TH CONGRESS

    On September 12, 2019, Rep. Susan Wild (D-PA-07) introduced 
H.R. 4327, the Enhancing Mental Health and Suicide Prevention 
Through Campus Planning Act, with Reps. Mike Quigley (D-IL-05), 
Brian Fitzpatrick (R-PA-01), David Trone (D-MD-06), Madeleine 
Dean (D-PA-04), Raul Grijalva (D-AZ-03), Jamie Raskin (D-MD-
08), Henry Cuellar (D-TX-28), Kathleen Rice (D-NY-04), Theodore 
Deutch (D-FL-22), and Seth Moulton (D-MA-06). The bill was 
referred solely to the Committee on Education and Labor.
    On October 15, 2019, Chairman Robert C. ``Bobby'' Scott (D-
VA-03) introduced H.R. 4674, the College Affordability Act 
(CAA), a bill to reauthorize the Higher Education Act of 1965. 
On October 29, 2019, Committee met in legislative session to 
markup CAA. At that markup, an Amendment in the Nature of a 
Substitute (ANS) was offered to H.R. 4674, which included H.R. 
4327. The Committee voted to report CAA to the House favorably 
with the ANS and other approved amendments by a vote of 28-22.

                             117TH CONGRESS

    On March 17, 2021, the Subcommittee on Higher Education and 
Workforce Investment (``HEWI Subcommittee'') held a hearing 
entitled ``Rising to the Challenge: The Future of Higher 
Education Post COVID-19'' examining the impact of COVD-19 on 
IHEs and students while highlighting the need for additional 
Administrative and Congressional action to support IHEs and 
their students. The Subcommittee heard testimony from: Eloy 
Ortiz Oakley, Chancellor, California Community Colleges, 
Sacramento, CA; Daniel Zibel, Vice President, Chief Counsel, 
and Co-Founder, National Student Legal Defense Network, 
Washington, D.C.; Lindsey Burke, Director of the Center for 
Education Policy, Heritage Foundation, Washington, D.C.; and 
Keith Thornton, Jr., student, Florida International University, 
Miami, FL.
    On April 15, 2021, the Subcommittee on Health, Employment, 
Labor, and Pensions (``HELP Subcommittee'') held a hearing 
titled ``Meeting the Moment: Improving Access to Behavioral and 
Mental Health Care'' to examine barriers to access for 
behavioral health care, particularly limited coverage of mental 
health and substance use disorder treatment and the importance 
of mental health parity laws. The Subcommittee heard testimony 
from: Dr. Brian Smedley, Chief of Psychology in the Public 
Interest, American Psychological Association, Washington, D.C.; 
Dr. Christine Yu Moutier, Chief Medical Officer, American 
Foundation for Suicide Prevention, New York, NY; Mr. James 
Gelfand, Senior Vice President, Health Policy, The ERISA 
Industry Committee, Washington, D.C.; and Dr. Meiram Bendat, 
Founder, Psych-Appeal, Santa Barbara, CA.
    On June 24, 2021, the Committee held a hearing titled 
``Examining the Policies and Priorities of the U.S. Department 
of Education'' to discuss the U.S. Department of Education's 
budget request for Fiscal Year 2022. The Committee heard 
testimony from Dr. Miguel Cardona, U.S. Secretary of Education. 
Discussion during the hearing included the subject of suicide 
on college campuses.
    On September 28, 2021, Rep. Susan Wild (D-PA-07) introduced 
H.R. 5407, the Enhancing Mental Health and Suicide Prevention 
Through Campus Planning Act, with Reps. Fred Keller (R-PA-12), 
Haley Stevens (D-MI-11), Mary Gay Scanlon (D-PA-05), Lucille 
Roybal-Allard (D-CA-40), Josh Harder (D-CA-10), and Mark 
DeSaulnier (D-CA-11) joining Reps. Fitzpatrick, Raskin, Trone, 
Grijalva, and Moulton as original cosponsors. The bill was 
referred solely to the Committee on Education and Labor. The 
legislation has broad support from advocates and 
organizations.\1\
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    \1\As of the filing of this report, H.R. 5407 was supported by: is 
supported by: The Jed Foundation; the Association on Higher Education 
and Disability; American Foundation for Suicide Prevention; The 
American Association of Suicidology; March for Our Lives; The Trevor 
Project; The American Psychological Association; Active Minds; The 
National Federation of Families; The National Alliance to Advance 
Adolescent Health; The Global Alliance for Behavioral Health and Social 
Justice; The National Association of State Mental Health Program 
Directors; The Anxiety & Depression Association of America; NIRSA: 
Leaders in Collegiate Recreation; The Association on Higher Education 
and Disability (AHEAD); The Jason Foundation; The Depression and 
Bipolar Support Alliance; NAADAC, The Association for Addiction 
Professionals; The National Association for Behavioral Intervention and 
Threat Assessment (NABITA); Education Development Center; NASPA: 
Student Affairs Administrators in Higher Education; International OCD 
Foundation; The National Association of Pediatric Nurse Practitioners; 
The National League for Nursing; RI International, Inc.; The Kennedy 
Forum; American Association for Psychoanalysis in Clinical Social Work; 
The Crisis Residential Association; The Association for Behavioral 
Health and Wellness; Inseparable; and The Association of College & 
University Housing Officers-International (ACUHO-I).
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    On May 18, 2022, the Committee considered H.R. 5407 in 
legislative session and reported it favorably, as amended to 
the House of Representatives by a voice vote.
    The Committee considered the following amendments to H.R. 
5407:
           Rep. Wild offered an amendment in the nature 
        of a substitute that:
                   Added a reference to evidence-
                based programs to ensure IHEs implement strong 
                comprehensive plans;
                   Broadened the reference to the 
                Suicide Prevention Resource Center to allow for 
                a wider range of resources to be considered 
                when creating campus plans;
                   Encouraged the Secretary to 
                align guidance for campus plans with existing 
                state programs, in addition to existing federal 
                programs;
                   Encouraged the Secretary to 
                collaborate with community-based organizations 
                to develop recommendations for colleges; and
                   Made several technical, 
                conforming, and perfecting changes.

                            Committee Views


                   MENTAL HEALTH ON COLLEGE CAMPUSES

    The Committee considered H.R. 5407 at a time when issues 
surrounding mental health are at the forefront of conversations 
about health care delivery in America. The Committee has held 
numerous hearings over the last two Congresses addressing one 
aspect or another of mental health care. The widespread 
challenges in mental health care were articulately stated 
during a 2021 HELP Subcommittee hearing titled ``Meeting the 
Moment: Improving Access to Behavioral and Mental Health 
Care''. Dr. Christine Moutier, Chief Medical Officer of the 
American Foundation for Suicide Prevention (AFSP), summarized 
the overall state of the system when she stated:

          The big picture is that we have had a broken system 
        when it comes to accessing mental health care. There 
        has been stigma internal and external, cultural 
        barriers, but now that that is going down, I believe 
        that is one of the reasons we see help-seeking so much 
        more on the rise. But the access to care has not been 
        there to meet it.\2\

    \2\Meeting the Moment: Improving Access to Behavioral and Mental 
Health Care Before the Subcomm. on Health, Education, Labor & Pensions 
of the H. Comm. on Education & Labor, 117th Cong. (Apr. 15, 2021).

    In particular, college student mental health has become a 
growing concern. A recent report found that 60 percent of 
students met criteria for one or more mental health problems, 
representing a 50 percent increase over the last decade.\3\ In 
2020, a study from the Healthy Minds Network at the University 
of Michigan revealed that 39 percent of undergraduate and 
graduate students from 36 colleges and universities experienced 
some form of depression during the 2019-2020 school year.\4\ 
According to the American College Health Association's Spring 
2021 National College Health Assessment, 61.3 percent of 
college students experiencing depression reported that their 
mental health negatively impacted their academic 
performance.\5\ The Centers for Disease Control and Prevention 
(CDC) has also reported an 87 percent increase in suicide 
attempts since 2007 among girls and young women\6\ and suicide 
is a leading cause of death for young adults ages 10-23.\7\
---------------------------------------------------------------------------
    \3\Sarah Ketchen Lipson et al., Trends in college student mental 
health and help-seeking by race/ethnicity: Findings from the national 
healthy minds study, 2013-20, Journal of Affective Disorders (2022), 
https://doi.org/10.1016/j.jad.2022.03.038.
    \4\The Healthy Minds Network for Research on Adolescent and Young 
Adult Mental Health, Univ. of Mich. & Bos. Univ., The Healthy Minds 
Study: Fall 2020 Data Report 5 (Feb. 2021), https://
healthymindsnetwork.org/wp-content/uploads/2021/02/HMS-Fall-2020-
National-Data-Report.pdf.
    \5\Am. Coll. Health Ass'n, National College Health Assessment 
Reference Group Executive Summary 6, (Spring 2021), https://
www.acha.org/documents/ncha/NCHA-III_SPRING-
2021_REFERENCE_GROUP_EXECUTIVE_SUMMARY_updated.pdf.
    \6\Matthew F. Garnett et al., Ctrs. for Disease Control & 
Prevention, Suicide Mortality in the United States, 2000-2020, NCHS 
Data Brief, no 433 (2022), https://www.cdc.gov/nchs/data/databriefs/
db433.pdf.
    \7\See Ctrs. for Disease Control & Prevention, Preventing Suicide 
Factsheet, Apr. 2022, https://www.cdc.gov/suicide/pdf/NCIPC-Suicide-
FactSheet.pdf.
---------------------------------------------------------------------------
    With the increase in mental health problems in college 
students, unfortunately recent data shows mental health has 
worsened among all student groups surveyed.\8\ As students 
grapple with these challenges, it is important that 
institutions and communities better understand their student 
populations specific challenges to offer the most effective 
comprehensive mental health and suicide prevention plans.
---------------------------------------------------------------------------
    \8\See Id. at 3
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                    MENTAL HEALTH IMPACT OF COVID-19

    The COVID-19 pandemic increased mental health challenges 
among young adults. Since the start of the pandemic, campus 
counseling centers have responded to an increased demand for 
student mental health services with limited funding, staff, and 
resources.\9\ In a campus-wide survey conducted by The 
Pennsylvania State University, about 94 percent of students 
seeking mental health services reported that COVID-19 has 
negatively impacted at least one aspect of life, with mental 
health (72 percent), motivation or focus (68 percent), 
loneliness or isolation (67 percent), and academics (66 
percent) given as the most frequently affected areas.\10\ Even 
as student need for quality mental health care continues to 
increase, lack of access to resources often remains the primary 
barrier to receiving care for students on campus.\11\
---------------------------------------------------------------------------
    \9\Melissa Ezarik, Students Struggle but Don't Seek Colleges' Help, 
Inside Higher Ed, Apr. 14, 2021, https://www.insidehighered.com/news/
2021/04/14/students-struggling-not-seeking-campus-mental-health-
support.
    \10\Center for Collegiate Mental Health, The Pennsylvania State 
University, Part 1 of 5: COVID-19 Impact on College Student Mental 
Health (Feb. 2, 2021), https://ccmh.psu.edu/
index.php?option=com_dailyplanetblog&view=entry&year=2021&month=02&day=0
1&id=9:part-1-of-5-covid-19-s-impact-on-college-student-mental-health.
    \11\Wenhua Lu et al., Examination of Young US Adults' Reasons for 
Not Seeking Mental Health Care for Depression, 2011-2019, JAMA 
NetworkOpen (2022), https://jamanetwork.com/journals/jamanetworkopen/
fullarticle/2792128.
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ENSURING INSTITUTIONS OF HIGHER EDUCATION ARE READY TO MEET THE MENTAL 
                        HEALTH NEEDS OF STUDENTS

    H.R. 5407 addresses the challenges of student mental health 
by encouraging IHEs to employ a broad range of services to meet 
the mental health needs of students. Specifically, the 
legislation directs the Department of Education (Department) to 
encourage IHEs to develop and implement evidence-based 
comprehensive campus mental health and suicide prevention 
plans. It encourages the Department and IHEs to work in 
conjunction with existing state agencies, non-profit 
organizations, and stakeholders to develop these programs.
    The legislation also directs the Department to align 
guidance for campus mental health and suicide prevention plans 
with guidance from the Suicide Prevention Resource Center 
(SPRC), as well as programs within the 21st Century Cures Act 
and Garrett Lee Smith Memorial Act, and any other existing 
state and federal programs relating to mental health and 
suicide prevention. Specifically, the SPRC is a federally 
supported resource center designed to advance the 
implementation of evidence-based suicide prevention 
strategies.\12\
---------------------------------------------------------------------------
    \12\The University of Oklahoma Health Sciences Center, About SPRC, 
SPRC (June 7, 2022, 11:00 AM), https://www.sprc.org/about-sprc.
---------------------------------------------------------------------------
    Additionally, H.R. 5407 encourages IHEs to incorporate 
recommended activities from the 21st Century Cures Act into 
their mental health and suicide prevention plans. Section 9031 
of the 21st Century Cures Act authorizes grants for IHEs to 
educate students, families, and staff on suicide prevention, 
mental and substance use disorders, and stigma reduction.\13\ 
H.R. 5407 encourages IHEs to align services they provide with 
the uses of funds for grants under section 9031, including 
providing outreach services, operating hotlines, developing 
education sessions and screenings for students and faculty, 
providing prevention and treatment services to students, 
creating infrastructure to connect IHEs with mental health care 
providers, and developing other evidence-based best 
practices.\14\
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    \13\42 U.S.C. Sec. 290bb-36b.
    \14\Id. The Garret Lee Smith Memorial Act, Pub. L. 108-355, created 
42 U.S.C. Sec.  290bb-36b, authorizing the grant program for IHEs to 
improve mental health service delivery. The 21st Century Cures Act, Pub 
L. 114-255, amended section 290bb-36b, amending the six allowable uses 
of funds authorized in Pub. L. 108-355 and introducing six more. As 
these two acts are not coterminous, the Committee expects the Secretary 
to look to both laws, and to 42 U.S.C. Sec.  290bb-36b generally in 
determining which activities related to mental health service delivery 
on college campuses to encourage IHEs to undertake.
---------------------------------------------------------------------------
    Similarly, H.R. 5407 encourages IHEs to incorporate related 
activities from the Garrett Lee Smith Memorial Act into their 
campus plans. The Garrett Lee Smith Memorial Act awards 
competitive grants to IHEs to enhance mental health services 
for students with mental health problems such as depression, 
substance misuse, and suicide attempts. This law highlights 
best practices for addressing mental health including hosting 
educational seminars, operating hotlines, preparing 
informational material for students and families, conducting 
education sessions for students and faculty, and creating 
infrastructure to connect IHEs without mental health services 
to mental health care providers.\15\ By leveraging existing 
resources and programs H.R. 5407 seeks not to duplicate 
existing federal initiatives but instead focus and ensure 
worthwhile information on suicide prevention and mental health 
services are making it to the IHEs that need it.
---------------------------------------------------------------------------
    \15\Id.
---------------------------------------------------------------------------
    While colleges that serve first-time full-time students in 
a residential setting are often the assumed paradigm when 
discussing service delivery on college campuses, the Committee 
fully realizes the majority of college students today do not 
fit that mold.\16\ A college student today is just as likely 
facing stressors like finances, basic needs, and family 
responsibilities as stressors associated with late 
adolescence.\17\ Similarly, support for college student mental 
health will look different on an urban residential campus than 
it may at a rural commuter campus. H.R. 5407 addresses this by 
not stipulating what a plan to address mental health on each 
campus should look like; the Committee expects each school to 
develop evidence-based plans that are reflective of their 
student bodies and campuses.
---------------------------------------------------------------------------
    \16\Ctr. for L. & Soc. Pol'y, Yesterday's Non-Traditional Student 
is Today's Traditional Student, (January 14, 2015), https://
www.clasp.org/sites/default/files/public/resources-and-publications/
publication-1/CPES-Nontraditional-students-pdf.pdf.
    \17\See e.g., The Aspen Inst. & The Jed Found., Improving Mental 
Health of Student Parents: A Framework for Higher Education 7-8 (May 
2021), https://ascend.aspeninstitute.org/wp-content/uploads/2021/05/
MentalHealthFramework_Final.pdf.
---------------------------------------------------------------------------

                               CONCLUSION

    Student mental health is an increasingly important issue 
for institutions of higher education. H.R. 5407, the Enhancing 
Mental Health and Suicide Prevention Through Campus Planning 
Act provides institutions the guidance and information they 
need to address student mental health issues effectively.

                      Section-by-Section Analysis


Sec. 1. Short title

    This section states that the title of the bill is the 
Enhancing Mental Health and Suicide Prevention Through Campus 
Planning Act.

Sec. 2. Encouraging campus comprehensive mental health and suicide 
        prevention plans

    This section directs the Secretary of Education to make 
efforts to encourage institutions of higher education to 
develop and implement comprehensive mental health and suicide 
prevention plans. It also directs the Secretary to collaborate 
with the Secretary of Health and Human Services and align 
efforts with existing evidence-based approaches from the 
Suicide Prevention Resource Center, programs within the 21st 
Century Cures Act and the Garrett Lee Smith Memorial Act, and 
other existing state and federal programs.

                       Explanation of Amendments

    The Amendment in the Nature of a Substitute is explained in 
the descriptive portions of this report.

              Application of Law to the Legislative Branch

    Pursuant to section 102(b)(3) of the Congressional 
Accountability Act of 1995, Pub. L. No. 104-1, H.R. 5407 does 
not apply to terms and conditions of employment or to access to 
public services or accommodations within the legislative 
branch.

                       Unfunded Mandate Statement

    Pursuant to Section 423 of the Congressional Budget and 
Impoundment Control Act of 1974, Pub. L. No. 93-344 (as amended 
by Section 101(a)(2) of the Unfunded Mandates Reform Act of 
1995, Pub. L. No. 104-4), the Committee adopts as its own the 
estimate of federal mandates regarding H.R. 5407, as amended, 
prepared by the Director of the Congressional Budget Office.

                           Earmark Statement

    In accordance with clause 9 of rule XXI of the Rules of the 
House of Representatives, H.R. 5407 does not contain any 
congressional earmarks, limited tax benefits, or limited tariff 
benefits as described in clauses 9(e), 9(f), and 9(g) of Rule 
XXI.

                            Roll Call Votes

    In compliance with clause 3(b) of Rule XIII of the Rules of 
the House of Representatives, the Committee advises that no 
roll call votes occurred during the Committee's consideration 
of H.R. 5407.

             Statement of Performance Goals and Objectives

    Pursuant to clause (3)(c) of rule XIII of the Rules of the 
House of Representatives, the goal of H.R. 5407 is to encourage 
institutions of higher education to develop a comprehensive 
mental health and suicide prevention plan to better support 
students in college.

                    Duplication of Federal Programs

    Pursuant to clause 3(c)(5) of rule XIII of the Rules of the 
House of Representatives, the Committee states that no 
provision of H.R. 5407 is known to be duplicative of another 
federal program, including any program that was included in a 
report to Congress pursuant to section 21 of Pub. L. No. 111-
139 or the most recent Catalog of Federal Domestic Assistance.

                                Hearings

    Pursuant to section clause 3(c)(6) of rule XIII of the 
Rules of the House of Representatives, the Committee held a 
Health, Employment, Labor, and Pensions (HELP) Subcommittee 
hearing entitled ``Meeting the Moment: Improving Access to 
Behavioral and Mental Health Care,'' which informed the 
development of H.R. 5407.

  Statement of Oversight Findings and Recommendations of the Committee

    In compliance with clause 3(c)(1) of rule XIII and clause 
2(b)(1) of rule X of the Rules of the House of Representatives, 
the Committee's oversight findings and recommendations are 
reflected in the descriptive portions of this report.

               New Budget Authority and CBO Cost Estimate

    Pursuant to clause 3(c)(2) of rule XIII of the Rules of the 
House of Representatives and section 308(a) of the 
Congressional Budget and Impoundment Control Act of 1974, and 
pursuant to clause 3(c)(3) of rule XIII of the Rules of the 
House of Representatives and section 402 of the Congressional 
Budget and Impoundment Control Act of 1974, the Committee has 
received the following estimate for H.R. 5407 from the Director 
of the Congressional Budget Office:

                                     U.S. Congress,
                               Congressional Budget Office,
                                     Washington, DC, June 15, 2022.
Hon. Robert C. (Bobby) Scott,
Chairman, Committee on Education and Labor,
House of Representatives, Washington, DC.
    Dear Mr. Chairman: The Congressional Budget Office has 
prepared the enclosed cost estimate for H.R. 5407, the 
Enhancing Mental Health and Suicide Prevention Through Campus 
Planning Act.
    If you wish further details on this estimate, we will be 
pleased to provide them. The CBO staff contact is Leah 
Koestner.
            Sincerely,
                                         Phillip L. Swagel,
                                                          Director.
    Enclosure.

    	[GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT]
    

    H.R. 5407 would direct the Secretary of Education to 
encourage institutions of higher education to develop and 
implement comprehensive mental health and suicide prevention 
plans based on established programs. The bill also would 
require the Secretary to report to the Congress on activities 
carried out under this bill.
    Using information about the cost of similar reports, CBO 
estimates that implementing H.R. 5407 would cost less than 
$500,000 over the 2022-2027 period. Such spending would be 
subject to the availability of appropriated funds.
    The CBO staff contact for this estimate is Leah Koestner. 
The estimate was reviewed by H. Samuel Papenfuss, Deputy 
Director of Budget Analysis.

                        Committee Cost Estimate

    Clause 3(d)(1) of rule XIII of the Rules of the House of 
Representatives requires an estimate and a comparison of the 
costs that would be incurred in carrying out H.R. 5407. 
However, clause 3(d)(2)(B) of that rule provides that this 
requirement does not apply when the committee has included in 
its report a timely submitted cost estimate of the bill 
prepared by the Director of the Congressional Budget Office 
under section 402 of the Congressional Budget and Impoundment 
Control Act of 1974.

         Changes in Existing Law Made by the Bill, as Reported

    In compliance with clause 3(e) of rule XIII of the Rules of 
the House of Representatives, changes in existing law made by 
the bill, H.R. 5407, as reported, are shown as follows:

         Changes in Existing Law Made by the Bill, as Reported

    In compliance with clause 3(e) of rule XIII of the Rules of 
the House of Representatives, changes in existing law made by 
the bill, as reported, are shown as follows (existing law 
proposed to be omitted is enclosed in black brackets, new 
matter is printed in italics, and existing law in which no 
change is proposed is shown in roman):

                      HIGHER EDUCATION ACT OF 1965




           *       *       *       *       *       *       *
TITLE VIII--ADDITIONAL PROGRAMS

           *       *       *       *       *       *       *


PART L--STUDENT SAFETY AND CAMPUS EMERGENCY MANAGEMENT

           *       *       *       *       *       *       *


SEC. 826. ENCOURAGING CAMPUS COMPREHENSIVE MENTAL HEALTH AND SUICIDE 
                    PREVENTION PLANS..

  (a) In General.--The Secretary shall make efforts to 
encourage institutions of higher education to develop and 
implement evidence-based comprehensive campus mental health and 
suicide prevention plans. Such efforts--
          (1) shall be conducted in coordination with the 
        Secretary of Health and Human Services (acting through 
        the Assistant Secretary for Mental Health and Substance 
        Use);
          (2) shall align with--
                  (A) the efforts and approaches recommended by 
                the Suicide Prevention Resource Center;
                  (B) the programs authorized under section 
                9032 of the 21st Century Cures Act (42 U.S.C. 
                290bb-36b note; Public Law 114-255), the 
                amendments made by section 9031 of such Act to 
                section 520E-2 of the Public Health Service Act 
                (42 U.S.C. 290bb-36b), and the amendment made 
                by section 9033 of such Act to part D of title 
                V of the Public Health Service Act (42 U.S.C. 
                290dd et seq.); and
                  (C) the programs authorized under the Garrett 
                Lee Smith Memorial Act (42 U.S.C. 201 note; 
                Public Law 108-355);
          (3) shall take into consideration existing Federal 
        and State efforts to address mental health and suicide 
        prevention at institutions of higher education; and
          (4) may be carried out in collaboration with 
        nonprofit organizations, community-based organizations 
        that partner with institutions of higher education, and 
        other experts and stakeholders in the field of campus 
        mental health and suicide prevention.
  (b) Reports.--The Secretary shall report to the Committee on 
Education and Labor of the House of Representatives and the 
Committee on Health, Education, Labor, and Pensions of the 
Senate on the efforts of the Secretary carried out under this 
section--
          (1) not later than one year after the date of 
        enactment of the Enhancing Mental Health and Suicide 
        Prevention Through Campus Planning Act; and
          (2) three years after the date of enactment of such 
        Act.
  (c) Construction.--Nothing in this section shall be construed 
as creating new statutory requirements for institutions of 
higher education or granting the Secretary new regulatory 
authority.

SEC. [826.] 827. RULE OF CONSTRUCTION..

  Nothing in this part shall be construed--
          (1) to provide a private right of action to any 
        person to enforce any provision of this section;
          (2) to create a cause of action against any 
        institution of higher education or any employee of the 
        institution for any civil liability; or
          (3) to affect section 444 of the General Education 
        Provisions Act (commonly known as the ``Family 
        Educational Rights and Privacy Act of 1974'') or the 
        regulations issued under section 264 of the Health 
        Insurance Portability and Accountability Act of 1996 
        (42 U.S.C. 1320d-2note).

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