STANDUP Act of 2019

II 116TH CONGRESS 1ST SESSION S. 2492 To amend the Public Health Service Act to provide best practices on student suicide awareness and prevention training and condition State educational agencies, local educational agencies, and tribal educational agencies re- ceiving funds under section 520A of such Act to establish and implement a school-based student suicide awareness and prevention training policy. IN THE SENATE OF THE UNITED STATES SEPTEMBER 17, 2019 Mr. GARDNER (for himself, Mr. JONES, Mrs. CAPITO, Mr. COONS, Ms. HAS- SAN, Mr. BLUMENTHAL, and Mr. CORNYN) introduced the following bill; which was read twice and referred to the Committee on Health, Edu- cation, Labor, and Pensions A BILL To amend the Public Health Service Act to provide best practices on student suicide awareness and prevention training and condition State educational agencies, local educational agencies, and tribal educational agencies re- ceiving funds under section 520A of such Act to establish and implement a school-based student suicide awareness and prevention training policy. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 VerDate Sep 11 2014 20:55 Sep 20, 2019 Jkt 089200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S2492.IS S2492 kjohnson on DSK79L0C42 with BILLS 2 •S 2492 IS SECTION 1. SHORT TITLE. 1 This Act may be cited as the ‘‘Suicide Training and 2 Awareness Nationally Delivered for Universal Prevention 3 Act of 2019’’ or the ‘‘STANDUP Act of 2019’’. 4 SEC. 2. FINDINGS. 5 The Congress finds as follows: 6 (1) Since 2010, suicide has been the second- 7 leading cause of death for young people ages 10–24. 8 In 2016, 6,159 young people ages 10–24 died by 9 suicide. 10 (2) Based on the 2017 Youth Risk Behavior 11 Survey of the Centers for Disease Control and Pre- 12 vention (in this section referred to as ‘‘CDC’’), 7.4 13 percent of youth in grades 9–12 reported that they 14 made at least one suicide attempt in the past 12 15 months. 16 (3) While there is no complete count of suicide 17 attempts in the United States, CDC data suggests 18 that for every reported suicide death, approximately 19 11.4 people visit a hospital for self-harm-related in- 20 juries. 21 (4) In 2016, suicide was the 10th-leading cause 22 of death overall in the United States, with over 23 44,000 people dying by suicide, and there were more 24 than twice as many suicides in the United States as 25 there were homicides. 26 VerDate Sep 11 2014 20:55 Sep 20, 2019 Jkt 089200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S2492.IS S2492 kjohnson on DSK79L0C42 with BILLS 3 •S 2492 IS (5) Youth often display warning signs and sig- 1 nals before harming themselves or others. Research 2 shows that 70 percent of those who die by suicide 3 tell someone of their plans or give another warning 4 sign. 5 (6) According to the CDC, the rates of suicide 6 among American Indians and Alaska Natives have 7 been increasing since 2003 and are the highest of 8 any racial or ethnic group in the United States. In 9 addition, recent studies of CDC data from 2001 10 through 2015 show that suicide rates for Black chil- 11 dren ages 5 through 12 were roughly two times 12 higher than those of similarly aged White children. 13 SEC. 3. STUDENT SUICIDE AWARENESS AND PREVENTION 14 TRAINING. 15 (a) IN GENERAL.—Title V of the Public Health Serv- 16 ice Act is amended by inserting after section 520A of such 17 Act (42 U.S.C. 290bb–32) the following: 18 ‘‘SEC. 520B. STUDENT SUICIDE AWARENESS AND PREVEN- 19 TION TRAINING POLICIES. 20 ‘‘(a) IN GENERAL.—As a condition on receipt of 21 funds under section 520A, each State educational agency, 22 local educational agency, and tribal educational agency 23 that receives such funds, directly or through a State or 24 Indian Tribe, for activities to be performed within elemen- 25 VerDate Sep 11 2014 20:55 Sep 20, 2019 Jkt 089200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S2492.IS S2492 kjohnson on DSK79L0C42 with BILLS 4 •S 2492 IS tary and secondary schools, including the Project AWARE 1 State Education Agency Grant Program, shall— 2 ‘‘(1) establish and implement a school-based 3 student suicide awareness and prevention training 4 policy; 5 ‘‘(2) consult with stakeholders (including prin- 6 cipals, teachers, parents, other school leaders) in the 7 development of the policy under subsection (a)(1); 8 and 9 ‘‘(3) collect and report information in accord- 10 ance with subsection (c). 11 ‘‘(b) SCHOOL-BASED STUDENT SUICIDE AWARENESS 12 AND PREVENTION TRAINING POLICY.—A school-based 13 student suicide awareness and prevention training policy 14 implemented pursuant to subsection (a)— 15 ‘‘(1) shall be evidence-based; 16 ‘‘(2) shall provide evidence-based training to 17 students in grades 6 through 12, in coordination 18 with school-based mental health service providers as 19 defined in section 4102(6) of the Elementary and 20 Secondary Education Act of 1965, if applicable, re- 21 garding— 22 ‘‘(A) suicide education and awareness, in- 23 cluding warning signs of self-harm or suicidal 24 ideation; 25 VerDate Sep 11 2014 20:55 Sep 20, 2019 Jkt 089200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S2492.IS S2492 kjohnson on DSK79L0C42 with BILLS 5 •S 2492 IS ‘‘(B) methods that students can use to 1 seek help for themselves and others; and 2 ‘‘(C) student resources for suicide aware- 3 ness and prevention; 4 ‘‘(3) shall provide for retraining of such stu- 5 dents every school year; 6 ‘‘(4) may last for such period as the State edu- 7 cational agency, local educational agency, or tribal 8 educational agency involved determines to be appro- 9 priate; and 10 ‘‘(5) may be implemented through any delivery 11 method, including in-person trainings, digital 12 trainings, or train-the-trainer models. 13 ‘‘(c) COLLECTION OF INFORMATION AND REPORT- 14 ING.—Each State educational agency, local educational 15 agency, and tribal educational agency that receives funds 16 under section 520A shall, with respect to each school 17 served by the agency, collect and report to the Secretary 18 the following information: 19 ‘‘(1) The number of student trainings con- 20 ducted. 21 ‘‘(2) The number of students trained, 22 disaggregated by age and grade level. 23 ‘‘(3) The number of help-seeking reports made 24 by students after implementation of such policy. 25 VerDate Sep 11 2014 20:55 Sep 20, 2019 Jkt 089200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S2492.IS S2492 kjohnson on DSK79L0C42 with BILLS 6 •S 2492 IS ‘‘(d) EVIDENCE-BASED PROGRAM LISTING.—The 1 Secretary of Health and Human Services shall coordinate 2 with the Secretary of Education to make publicly available 3 the policies established by State educational agencies, local 4 educational agencies, and tribal educational agencies pur- 5 suant to this section and the training that is available to 6 students and teams pursuant to such policies, including 7 identification of whether such training is available to 8 trainees at no cost. 9 ‘‘(e) IMPLEMENTATION TIMELINE.—A State edu- 10 cational agency, local educational agency, or tribal edu- 11 cational agency shall establish and begin implementation 12 of the policies required by subsection (a)(1) not later than 13 the beginning of the third fiscal year following the date 14 of enactment of this section for which the agency receives 15 funds under section 520A. 16 ‘‘(f) DEFINITIONS.—In this section: 17 ‘‘(1) The term ‘evidence-based’ has the meaning 18 given to such term in section 8101 of the Elemen- 19 tary and Secondary Education Act of 1965. 20 ‘‘(2) The term ‘local education agency’ has the 21 meaning given to such term in section 8101 of the 22 Elementary and Secondary Education Act of 1965. 23 ‘‘(3) The term ‘State educational agency’ has 24 the meaning given to such term in section 8101 of 25 VerDate Sep 11 2014 20:55 Sep 20, 2019 Jkt 089200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\S2492.IS S2492 kjohnson on DSK79L0C42 with BILLS 7 •S 2492 IS the Elementary and Secondary Education Act of 1 1965. 2 ‘‘(4) The term ‘tribal educational agency’ has 3 the meaning given to such term in section 6132 of 4 the Elementary and Secondary Education Act of 5 1965. 6 ‘‘SEC. 520B–1. BEST PRACTICES FOR STUDENT SUICIDE 7 AWARENESS AND PREVENTION TRAINING. 8 ‘‘The Secretary of Health and Human Services, act- 9 ing through the Assistant Secretary of the Substance 10 Abuse and Mental Health Services Administration, in co- 11 ordination with the Secretary of Education, shall— 12 ‘‘(1) publish best practices for school-based stu- 13 dent suicide awareness and prevention training, pur- 14 suant to section 520B, that are based on— 15 ‘‘(A) evidence-based practices; and 16 ‘‘(B) input from relevant Federal agencies, 17 national organizations, and related stake- 18 holders; 19 ‘‘(2) publish guidance, based on the best prac- 20 tices under paragraph (1), to provide State edu- 21 cational agencies, local educational agencies, and 22 tribal educational agencies with information on stu- 23 dent suicide awareness and prevention best prac- 24 tices; 25 VerDate Sep 11 2014 20:55 Sep 20, 2019 Jkt 089200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\S2492.IS S2492 kjohnson on DSK79L0C42 with BILLS 8 •S 2492 IS ‘‘(3) disseminate such best practices to State 1 educational agencies, local educational agencies, and 2 tribal educational agencies; and 3 ‘‘(4) provide technical assistance to State edu- 4 cational agencies, local educational agencies, and 5 tribal educational agencies.’’. 6 SEC. 4. EFFECTIVE DATE. 7 The amendments made by this Act shall only apply 8 with respect to applications for assistance under section 9 520A of the Public Health Service Act (42 U.S.C. 290bb– 10 32) that are submitted after the date of enactment of this 11 Act. 12 Æ VerDate Sep 11 2014 20:55 Sep 20, 2019 Jkt 089200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6301 E:\BILLS\S2492.IS S2492 kjohnson on DSK79L0C42 with BILLS