,,ii #aac? ,,congress #a/ ,session ,s4 #aaf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,janu>y #bc 7legislative day1 ,janu>y #c71 #bjac ,mr4 ,re$ 7= himself1 ,ms4 ,murk[ski1 ,mr4 ,durb91 ,ms4 ,coll9s1 ,mr4 ,udall ( ,new ,mexico1 ,mrs4 ,murray1 ,mr4 ,laut5b]g1 ,mr4 ,blum5?al1 ,mr4 ,coons1 ,ms4 ,klobu*>1 ,ms4 ,/ab5[1 & ,mr4 ,begi*7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to revise & ext5d provisions "u ! ,g>rett ,lee ,smi? ,memorial ,act4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,g>rett ,lee ,smi? ,memorial ,act ,reau?orization ( #bjac4 #b4 ,suicide prev5tion te*nical assi/ance c5t] 7a7 ,repeal ,section #ebj;,c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cd7 is repeal$4 7b7 ,suicide prev5tion te*nical assi/ance c5t] ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 7z am5d$ by subsection 7a77 is am5d$ by ins]t+ aft] section #ebj;,b ! foll[+3 #ebj;,c4 ,suicide prev5tion te*nical assi/ance c5t] 7a7 ,program au?oriz$ ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all e/abli% a rese>*1 tra9+1 & te*nical assi/ance res\rce c5t] to provide appropriate in=mation1 tra9+1 & te*nical assi/ance to ,/ates1 political subdivisions ( ,/ates1 f$]ally recogniz$ ,indian tribes1 tribal organizations1 in/itutions ( high] education1 public organizations1 or private nonpr(it organizations conc]n+ ! prev5tion ( suicide among all ages1 p>ticul>ly among gr\ps t are at high risk = suicide4 7b7 ,responsibilities ( ! c5t] ,! c5t] e/abli%$ "u subsection 7a7 %all-- 7#a7 assi/ 9 ! developm5t or cont9uation ( /atewide & tribal suicide e>ly int]v5tion & prev5tion /rategies = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide2 7#b7 ensure ! surveillance ( suicide e>ly int]v5tion & prev5tion /rategies = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide2 7#c7 /udy ! co/s & effectiv5ess ( /atewide & tribal suicide e>ly int]v5tion & prev5tion /rategies 9 ord] to provide in=mation conc]n+ relevant issues ( importance to ,/ate1 tribal1 & national policymak]s2 7#d7 fur!r id5tify & und]/& causes & associat$ risk factors = suicide = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide2 7#e7 analyze ! efficacy ( new & exi/+ suicide e>ly int]v5tion & prev5tion te*niques & te*nology = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide2 7#f7 ensure ! surveillance ( suicidal behaviors & nonfatal suicidal attempts2 7#g7 /udy ! effectiv5ess ( ,/ate-sponsor$ /atewide & tribal suicide e>ly int]v5tion & prev5tion /rategies = all ages p>ticul>ly among gr\ps t are at high risk = suicide on ! ov]all wellness & heal? promotion /rategies relat$ to suicide attempts2 7#h7 promote ! %>+ ( data reg>d+ suicide ) ,f$]al ag5cies involv$ ) suicide e>ly int]v5tion & prev5tion1 & ,/ate-sponsor$ /atewide & tribal suicide e>ly int]v5tion & prev5tion /rategies = ! purpose ( id5tify+ previ\sly unkn[n m5tal heal? causes & associat$ risk factors = suicide among all ages p>ticul>ly among gr\ps t are at high risk = suicide2 7#i7 evaluate & dissem9ate outcomes & be/ practices ( m5tal heal? & sub/ance use disord] s]vices at in/itutions ( high] education2 & 7#aj7 conduct o!r activities det]m9$ appropriate by ! ,secret>y4 7c7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #e1jjj1jjj = ea* ( ! fiscal ye>s #bjad ?r\gh #bjah4 4 #c4 ,y\? suicide int]v5tion & prev5tion /rategies ,section #ebj;,e ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf7 is am5d$ to read z foll[s3 #ebj;,e4 ,y\? suicide e>ly int]v5tion & prev5tion /rategies 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all aw>d grants or coop]ative agreem5ts to eligible entities to-- 7#a7 develop & implem5t ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies 9 s*ools1 educational in/itutions1 juv5ile ju/ice sy/ems1 sub/ance use disord] programs1 m5tal heal? programs1 fo/] c>e sy/ems1 & o!r *ild & y\? support organizations2 7#b7 support public organizations & private nonpr(it organizations actively involv$ 9 ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies & 9 ! developm5t & cont9uation ( ,/ate-sponsor$ /atewide y\? suicide e>ly int]v5tion & prev5tion /rategies2 7#c7 provide grants to in/itutions ( high] education to coord9ate ! implem5tation ( ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies2 7#d7 collect & analyze data on ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion s]vices t c be us$ to monitor ! effectiv5ess ( su* s]vices & = rese>*1 te*nical assi/ance1 & policy developm5t2 & 7#e7 assi/ eligible entities1 ?r\gh ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies1 9 a*iev+ t>gets = y\? suicide r$uctions "u title ,v ( ! ,social ,security ,act4 7b7 ,eligible entity 7#a7 ,def9ition ,9 ?is section1 ! t]m eligible entity means-- 7,a7 a ,/ate2 7,b7 a public organization or private nonpr(it organization designat$ by a ,/ate to develop or direct ! ,/ate-sponsor$ /atewide y\? suicide e>ly int]v5tion & prev5tion /rategy2 or 7,c7 a f$]ally recogniz$ ,indian tribe or tribal organization 7z def9$ 9 ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act7 or an urban ,indian organization 7z def9$ 9 ! ,indian ,heal? ,c>e ,improvem5t ,act7 t is actively involv$ 9 ! developm5t & cont9uation ( a tribal y\? suicide e>ly int]v5tion & prev5tion /rategy4 7#b7 ,limitation ,9 c>ry+ out ?is section1 ! ,secret>y %all ensure t a ,/ate does n receive m ?an "o grant or coop]ative agreem5t "u ?is section at any "o "t4 ,= purposes ( ! prec$+ s5t5ce1 a ,/ate %all be consid]$ to h receiv$ a grant or coop]ative agreem5t if ! eligible entity involv$ is ! ,/ate or an entity designat$ by ! ,/ate "u p>agraph 7#a77;,b74 ,no?+ 9 ?is p>agraph %all be con/ruct$ to apply to entities describ$ 9 p>agraph 7#a77;,c74 7c7 ,pref]5ce ,9 provid+ assi/ance "u a grant or coop]ative agreem5t "u ?is section1 an eligible entity %all give pref]5ce to public organizations1 private nonpr(it organizations1 political subdivisions1 in/itutions ( high] education1 & tribal organizations actively involv$ ) ! ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategy t-- 7#a7 provide e>ly int]v5tion & assessm5t s]vices1 includ+ scre5+ programs1 to y\? :o are at risk = m5tal or emotional disord]s t may lead to a suicide attempt1 & t are integrat$ ) s*ool sy/ems1 educational in/itutions1 juv5ile ju/ice sy/ems1 sub/ance use disord] programs1 m5tal heal? programs1 fo/] c>e sy/ems1 & o!r *ild & y\? support organizations2 7#b7 demon/rate collaboration among e>ly int]v5tion & prev5tion s]vices or c]tify t entities w engage 9 future collaboration2 7#c7 employ or include 9 _! applications a commitm5t to evaluate y\? suicide e>ly int]v5tion & prev5tion practices & /rategies adapt$ to ! local community2 7#d7 provide timely ref]rals = appropriate community-bas$ m5tal heal? c>e & treatm5t ( y\? :o are at risk = suicide 9 *ild-s]v+ sett+s & ag5cies2 7#e7 provide imm$iate support & in=mation res\rces to families ( y\? :o are at risk = suicide2 7#f7 (f] access to s]vices & c>e to y\? ) div]se l+ui/ic & cultural backgr\nds2 7#g7 (f] appropriate po/suicide int]v5tion s]vices1 c>e1 & in=mation to families1 fri5ds1 s*ools1 educational in/itutions1 juv5ile ju/ice sy/ems1 sub/ance use disord] programs1 m5tal heal? programs1 fo/] c>e sy/ems1 & o!r *ild & y\? support organizations ( y\? :o rec5tly complet$ suicide2 7#h7 (f] cont9u\s & up-to-date in=mation & aw>5ess campaigns t t>get p>5ts1 family memb]s1 *ild c>e pr(essionals1 community c>e provid]s1 & ! g5]al public & highlight ! risk factors associat$ ) y\? suicide & ! life-sav+ help & c>e available f e>ly int]v5tion & prev5tion s]vices2 7#i7 ensure t in=mation & aw>5ess campaigns on y\? suicide risk factors1 & e>ly int]v5tion & prev5tion s]vices1 use effective communication me*anisms t are t>get$ to & rea* y\?1 families1 s*ools1 educational in/itutions1 & y\? organizations2 7#aj7 provide a timely response sy/em to ensure t *ild-s]v+ pr(essionals & provid]s are prop]ly tra9$ 9 y\? suicide e>ly int]v5tion & prev5tion /rategies & t *ild-s]v+ pr(essionals & provid]s involv$ 9 e>ly int]v5tion & prev5tion s]vices are prop]ly tra9$ 9 effectively id5tify+ y\? :o are at risk = suicide2 7#aa7 provide cont9u\s tra9+ activities = *ild c>e pr(essionals & community c>e provid]s on ! late/ y\? suicide e>ly int]v5tion & prev5tion s]vices practices & /rategies2 7#ab7 conduct annual self-evaluations ( outcomes & activities1 includ+ consult+ ) int]e/$ families & advocacy organizations2 7#ac7 provide s]vices 9 areas or regions ) rates ( y\? suicide t exce$ ! national av]age z det]m9$ by ! ,c5t]s = ,disease ,control & ,prev5tion2 & 7#ad7 obta9 in=m$ writt5 cons5t f a p>5t or legal gu>dian ( an at-risk *ild be=e involv+ ! *ild 9 a y\? suicide e>ly int]v5tion & prev5tion program4 7d7 ,requirem5t = direct s]vices ,n less ?an #he p]c5t ( grant funds receiv$ "u ?is section %all be us$ to provide direct s]vices1 ( :i* n less ?an #e p]c5t %all be us$ = activities au?oriz$ "u subsection 7a77#c74 7e7 ,consultation & policy developm5t 7#a7 ,9 g5]al ,9 c>ry+ out ?is section1 ! ,secret>y %all collaborate ) relevant ,f$]al ag5cies & suicide work+ gr\ps responsible = e>ly int]v5tion & prev5tion s]vices relat+ to y\? suicide4 7#b7 ,consultation ,9 c>ry+ out ?is section1 ! ,secret>y %all consult )-- 7,a7 ,/ate & local ag5cies1 includ+ ag5cies responsible = e>ly int]v5tion & prev5tion s]vices "u title ,,xix ( ! ,social ,security ,act1 ! ,/ate ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( ! ,social ,security ,act1 & programs fund$ by grants "u title ,v ( ! ,social ,security ,act2 7,b7 local & national organizations t s]ve y\? at risk = suicide & _! families2 7,c7 relevant national m$ical & o!r heal? & education specialty organizations2 7,d7 y\? :o are at risk = suicide1 :o h surviv$ suicide attempts1 or :o are curr5tly receiv+ c>e f e>ly int]v5tion s]vices2 7,e7 families & fri5ds ( y\? :o are at risk = suicide1 :o h surviv$ suicide attempts1 :o are curr5tly receiv+ c>e f e>ly int]v5tion & prev5tion s]vices1 or :o h complet$ suicide2 7,f7 qualifi$ pr(essionals :o possess ! specializ$ k1 skills1 exp]i5ce1 & relevant attributes ne$$ to s]ve y\? at risk = suicide & _! families2 & 7,g7 ?ird-p>ty pay]s1 manag$ c>e organizations1 & relat$ comm]cial indu/ries4 7#c7 ,policy developm5t ,9 c>ry+ out ?is section1 ! ,secret>y %all-- 7,a7 coord9ate & collaborate on policy developm5t at ! ,f$]al level ) ! relevant ,dep>tm5t ( ,heal? & ,human ,s]vices ag5cies & suicide work+ gr\ps2 & 7,b7 consult on policy developm5t at ! ,f$]al level ) ! private sector1 includ+ consum]1 m$ical1 suicide prev5tion advocacy gr\ps1 & o!r heal? & education pr(essional-bas$ organizations1 ) respect to ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies4 7f7 ,rule ( con/ruction2 religi\s & moral accommodation ,no?+ 9 ?is section %all be con/ru$ to require suicide assessm5t1 e>ly int]v5tion1 or treatm5t s]vices = y\? ^: p>5ts or legal gu>dians object bas$ on ! p>5ts' or legal gu>dians' religi\s beliefs or moral objections4 7g7 ,evaluations & report 7#a7 ,evaluations by eligible entities ,n lat] ?an #ah mon?s aft] receiv+ a grant or coop]ative agreem5t "u ?is section1 an eligible entity %all submit to ! ,secret>y ! results ( an evaluation to be conduct$ by ! entity conc]n+ ! effectiv5ess ( ! activities c>ri$ out "u ! grant or agreem5t4 7#b7 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all submit to ! appropriate committees ( ,congress a report conc]n+ ! results (-- 7,a7 ! evaluations conduct$ "u p>agraph 7#a72 & 7,b7 an evaluation conduct$ by ! ,secret>y to analyze ! effectiv5ess & efficacy ( ! activities conduct$ ) grants1 collaborations1 & consultations "u ?is section4 7h7 ,rule ( con/ruction2 /ud5t m$ication ,no?+ 9 ?is section %all be con/ru$ to all[ s*ool p]sonnel to require t a /ud5t obta9 any m$ication z a condition ( att5d+ s*ool or receiv+ s]vices4 7i7 ,prohibition ,funds appropriat$ to c>ry out ?is section1 section #ebg1 or section #ebi %all n be us$ to pay = or ref] = abortion4 7j7 ,p>5tal cons5t ,/ates & entities receiv+ fund+ "u ?is section %all obta9 prior writt51 in=m$ cons5t f ! *ild's p>5t or legal gu>dian = assessm5t s]vices1 s*ool-sponsor$ programs1 & treatm5t involv+ m$ication relat$ to y\? suicide conduct$ 9 elem5t>y & second>y s*ools4 ,! requirem5t ( ! prec$+ s5t5ce does n apply 9 ! foll[+ cases3 7#a7 ,9 an em]g5cy1 :]e x is necess>y to protect ! imm$iate heal? & safety ( ! /ud5t or o!r /ud5ts4 7#b7 ,o!r in/ances1 z def9$ by ! ,/ate1 :]e p>5tal cons5t _c reasonably be obta9$4 7k7 ,relation to education provisions ,no?+ 9 ?is section %all be con/ru$ to sup]s$e section #ddd ( ! ,g5]al ,education ,provisions ,act1 includ+ ! requirem5t ( prior p>5tal cons5t = ! disclosure ( any education records4 ,no?+ 9 ?is section %all be con/ru$ to modify or affect p>5tal notification requirem5ts = programs au?oriz$ "u ! ,elem5t>y & ,second>y ,education ,act ( #aife 7z am5d$ by ! ,no ,*ild ,left ,beh9d ,act ( #bjja2 ,public ,law #ajg-aaj74 7l7 ,def9itions ,9 ?is section3 7#a7 ,e>ly int]v5tion ,! t]m e>ly int]v5tion means a /rategy or approa* t is int5d$ to prev5t an outcome or to alt] ! c\rse ( an exi/+ condition4 7#b7 ,educational in/itution2 in/itution ( high] education2 s*ool ,! t]m-- 7,a7 educational in/itution means a s*ool or in/itution ( high] education2 7,b7 in/itution ( high] education has ! mean+ giv5 su* t]m 9 section #aja ( ! ,high] ,education ,act ( #aife2 & 7,c7 s*ool means an elem5t>y or second>y s*ool 7z su* t]ms are def9$ 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife74 7#c7 ,prev5tion ,! t]m prev5tion means a /rategy or approa* t r$uces ! likelihood or risk ( onset1 or delays ! onset1 ( adv]se heal? problems t h be5 kn[n to lead to suicide4 7#d7 ,y\? ,! t]m y\? means individuals :o are betwe5 #aj & #bd ye>s ( age4 7m7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #cb1jjj1jjj = ea* ( ! fiscal ye>s #bjad ?r\gh #bjah4 4 #d4 ,m5tal heal? & sub/ance use disord]s s]vices & outrea* on campus ,section #ebj;,e-#b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b7 is am5d$ to read z foll[s3 #ebj;,e-#b4 ,m5tal heal? & sub/ance use disord]s s]vices on campus 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t] = ,m5tal ,heal? ,s]vices & 9 consultation ) ! ,secret>y ( ,education1 %all aw>d grants on a competitive basis to in/itutions ( high] education to enhance s]vices = /ud5ts ) m5tal heal? or sub/ance use disord]s & to develop be/ practices = ! deliv]y ( su* s]vices4 7b7 ,uses ( funds ,am\nts receiv$ "u a grant "u ?is section %all be us$ = #a or m ( ! foll[+ activities3 7#a7 ,! provision ( m5tal heal? & sub/ance use disord] s]vices to /ud5ts1 includ+ prev5tion1 promotion ( m5tal heal?1 volunt>y scre5+1 e>ly int]v5tion1 volunt>y assessm5t1 treatm5t1 & managem5t ( m5tal heal? & sub/ance abuse disord] issues4 7#b7 ,! provision ( outrea* s]vices to notify /ud5ts ab\t ! exi/5ce ( m5tal heal? & sub/ance use disord] s]vices4 7#c7 ,educat+ /ud5ts1 families1 faculty1 /aff1 & communities to increase aw>5ess ( m5tal heal? & sub/ance use disord]s4 7#d7 ,! employm5t ( appropriately tra9$ /aff1 includ+ adm9i/rative /aff4 7#e7 ,! provision ( tra9+ to /ud5ts1 faculty1 & /aff to respond effectively to /ud5ts ) m5tal heal? & sub/ance use disord]s4 7#f7 ,! creation ( a network+ infra/ructure to l9k colleges & univ]sities ) provid]s :o c treat m5tal heal? & sub/ance use disord]s4 7#g7 ,develop+1 support+1 evaluat+1 & dissem9at+ evid5ce-bas$ & em]g+ be/ practices4 7c7 ,implem5tation ( activities us+ grant funds ,an in/itution ( high] education t receives a grant "u ?is section may c>ry out activities "u ! grant ?r\gh-- 7#a7 college c\nsel+ c5t]s2 7#b7 college & univ]sity psy*ological s]vice c5t]s2 7#c7 m5tal heal? c5t]s2 7#d7 psy*ology tra9+ cl9ics2 7#e7 in/itution ( high] education support$1 evid5ce-bas$1 m5tal heal? & sub/ance use disord] programs2 or 7#f7 any o!r entity t provides m5tal heal? & sub/ance use disord] s]vices at an in/itution ( high] education4 7d7 ,application ,to be eligible to receive a grant "u ?is section1 an in/itution ( high] education %all prep>e & submit to ! ,secret>y an application at su* "t & 9 su* mann] z ! ,secret>y may require4 ,at a m9imum1 su* application %all include ! foll[+3 7#a7 ,a description ( id5tifi$ m5tal heal? & sub/ance use disord] ne$s ( /ud5ts at ! in/itution ( high] education4 7#b7 ,a description ( ,f$]al1 ,/ate1 local1 private1 & in/itutional res\rces curr5tly available to address ! ne$s describ$ 9 p>agraph 7#a7 at ! in/itution ( high] education4 7#c7 ,a description ( ! outrea* /rategies ( ! in/itution ( high] education = promot+ access to s]vices1 includ+ a propos$ plan = rea*+ ^? /ud5ts mo/ 9 ne$ ( m5tal heal? s]vices4 7#d7 ,a plan1 :5 applicable1 to meet ! specific m5tal heal? & sub/ance use disord] ne$s ( vet]ans att5d+ in/itutions ( high] education4 7#e7 ,a plan to seek input f community m5tal heal? provid]s1 :5 available1 community gr\ps & o!r public & private entities 9 c>ry+ out ! program "u ! grant4 7#f7 ,a plan to evaluate program outcomes1 includ+ a description ( ! propos$ use ( funds1 ! program objectives1 & h[ ! objectives w be met4 7#g7 ,an assurance t ! in/itution w submit a report to ! ,secret>y ea* fiscal ye> conc]n+ ! activities c>ri$ out ) ! grant & ! results a*iev$ ?r\gh ^? activities4 7e7 ,special consid]ations ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give special consid]ation to applications t describe programs to be c>ri$ out "u ! grant t-- 7#a7 demon/rate ! greate/ ne$ = new or additional m5tal & sub/ance use disord] s]vices1 9 "p by provid+ in=mation on curr5t ratios ( /ud5ts to m5tal heal? & sub/ance use disord] heal? pr(essionals2 & 7#b7 demon/rate ! greate/ pot5tial = replication4 7f7 ,requirem5t ( mat*+ funds 7#a7 ,9 g5]al ,! ,secret>y may make a grant "u ?is section to an in/itution ( high] education only if ! in/itution agrees to make available 7directly or ?r\gh donations f public or private entities7 non-,f$]al contributions 9 an am\nt t is n less ?an #a = ea* #a ( ,f$]al funds provid$ "u ! grant1 t[>d ! co/s ( activities c>ri$ out ) ! grant 7z describ$ 9 subsection 7b77 & o!r activities by ! in/itution to r$uce /ud5t m5tal heal? & sub/ance use disord]s4 7#b7 ,det]m9ation ( am\nt contribut$ ,non-,f$]al contributions requir$ "u p>agraph 7#a7 may be 9 ca% or 9 k9d4 ,am\nts provid$ by ! ,f$]al ,gov]nm5t1 or s]vices assi/$ or subsidiz$ to any significant ext5t by ! ,f$]al ,gov]nm5t1 may n be includ$ 9 det]m9+ ! am\nt ( su* non-,f$]al contributions4 7#c7 ,waiv] ,! ,secret>y may waive ! application ( p>agraph 7#a7 ) respect to an in/itution ( high] education if ! ,secret>y det]m9es t extraord9>y ne$ at ! in/itution ju/ifies ! waiv]4 7g7 ,reports ,= ea* fiscal ye> t grants are aw>d$ "u ?is section1 ! ,secret>y %all conduct a /udy on ! results ( ! grants & submit to ! ,congress a report on su* results t includes ! foll[+3 7#a7 ,an evaluation ( ! grant program outcomes1 includ+ a summ>y ( activities c>ri$ out ) ! grant & ! results a*iev$ ?r\gh ^? activities4 7#b7 ,recomm5dations on h[ to improve access to m5tal heal? & sub/ance use disord] s]vices at in/itutions ( high] education1 includ+ ef=ts to r$uce ! incid5ce ( suicide & sub/ance use disord]s4 7h7 ,def9itions ,9 ?is section1 ! t]m in/itution ( high] education has ! mean+ giv5 su* t]m 9 section #aja ( ! ,high] ,education ,act ( #aife4 7i7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #g1jjj1jjj = ea* ( ! fiscal ye>s #bjad ?r\gh #bjah4 4