,i #aafth ,,congress #ast ,session ,h4 ,r4 #cggh ,,in ,,the ,,house ,,of ,,representatives ,july #af1 #bjai,mr4 ,cleaver 7for himself1 ,mr4 ,long1 ,mrs4 ,watson ,coleman1 ,mr4 ,cummings1 ,ms4 ,wilson of ,florida1 ,mr4 ,hastings1 ,mr4 ,thompson of ,mississippi1 ,ms4 ,johnson of ,texas1 ,ms4 ,lee of ,california1 ,mrs4 ,mc,bath1 ,mr4 ,fitzpatrick1 ,ms4 ,kelly of ,illinois1 ,ms4 ,wild1 ,mr4 ,horsford1 ,mr4 ,butterfield1 ,ms4 ,clarke of ,new ,york1 ,mr4 ,rose of ,new ,york1 and ,mr4 ,meeks7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,education and ,labor1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to amend the ,public ,health ,service ,act to authorize certain grants 7for youth suicide early intervention and prevention strategies7 to be used for school personnel in elementary and secondary schools and students in secondary schools to receive student suicide awareness and prevention training1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,cady ,housh and ,gemesha ,thomas ,student ,suicide ,prevention ,act of #bjai4 #b4 ,findings ,congress finds the following3 7#a7 ,in the last #ab years1 suicide has been on the increase1 moving up to the second leading cause of death for young people between the ages of #aj and #bd with about #aeg1jjj youth treated at emergency departments for self-inflicted injuries4 7#b7 ,according to the #bjag ,youth ,risk ,behaviors ,survey of the ,centers for ,disease ,control and ,prevention1 #af percent of high school students reported seriously considering suicide1 and #h percent reporting attempting to take their lives during that period4 7#c7 ,eighty percent of students show warning signs before attempting suicide4 7#d7 ,prevention and awareness training will equip individuals to become aware of the warning signs of suicide1 identify students in crisis1 and provide resources for help4 7#e7 ,research shows that inquiring about suicide ideation1 or discussing suicide in terms of recognizing risk factors and prevention methods-- 7,a7 does not increase the chance of suicide2 and 7,b7 in fact1 can lower the risk of suicide4 7#f7 ,sexual minority youth 7,,lgbtq7 are almost five times more likely to have attempted suicide compared to their heterosexual peers4 #c4 ,sense of ,congress ,it is the sense of the ,congress that-- 7#a7 student suicide awareness1 prevention training1 and response materials should be available to all school personnel1 including administrative personnel1 teachers1 counselors1 and other school leaders2 7#b7 ,states should give autonomy to each local educational agency to-- 7,a7 adopt a policy with respect to student suicide awareness and prevention2 and 7,b7 work collaboratively with local organizations1 youth mental health experts1 health care providers1 and the ,secretary of ,health and ,human ,services to implement training for school personnel and students1 including by sharing and disseminating-- 7i7 training materials and resources2 and 7ii7 information that is evidence-based or promising on student suicide prevention2 7#c7 the ,secretary of ,health and ,human ,services should identify the highest unmet needs1 specifically with students of color2 7#d7 schools should offer to students in grades #i through #ab1 with the support of organizations with demonstrated expertise in cultural competency1 suicide awareness1 response1 and prevention training with an opt out component to be signed by parents1 guardians1 or students over the age of #ah2 7#e7 students who receive such training should not be taught to be counselors1 but rather should be educated on how to-- 7,a7 recognize signs of suicide and depression2 7,b7 report these signs to appropriate staff2 and 7,c7 identify sources of care and support2 and 7#f7 schools should utilize school-based mental health professionals and other community partnerships4 #d4 ,student suicide awareness and prevention training 7a7 ,additional authorized use of grant funds ,section #ebj;,e7a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf7;a77 is amended-- 7#a7 in paragraph 7#d71 by striking and at the end2 7#b7 in paragraph 7#e71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7#f7 establish and implement a statewide policy requiring school personnel in elementary and secondary schools and students in secondary schools to complete student emotional well-being1 mental health1 and suicide awareness and prevention training in accordance with subsection 7d74 4 7b7 ,training requirements ,section #ebj;,e of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf7;a771 as amended by subsection 7a71 is further amended-- 7#a7 by redesignating subsections 7d7 through 7m7 as subsections 7e7 through 7n71 respectively2 and 7#b7 by inserting after subsection 7c7 the following3 7d7 ,requirements for student suicide awareness and training programs 7#a7 ,in general ,as a condition on receipt of funds under subsection 7a77#f71 an applicant shall agree to use the funds to establish or implement a statewide policy-- 7,a7 requiring school personnel in elementary and secondary schools and students in secondary schools to complete student emotional well-being1 mental health1 and suicide awareness and prevention training that-- 7i7 includes at least one classroom session each school year2 7ii7 is evidence-based or evidence-informed2 and 7iii7 includes training on-- 7,i7 the warning signs of1 and elevated risk factors for1 poor emotional well-being1 mental health issues1 and suicide of oneself and of others2 7,,ii7 suggested responses to such warning signs2 7,,iii7 further suicide awareness and prevention resources2 and 7,,iv7 the method and manner of making an appropriate referral to a school-based mental health services provider2 and 7,b7 requiring1 with respect to such school personnel1 that such training include training on-- 7i7 cultural competency and intersectionality sensitivity2 and 7ii7 an overview of applicable ,federal1 ,state1 and local law concerning reporting requirements4 7#b7 ,definitions ,as used in subsection 7a77#f7 and this subsection3 7,a7 ,the term evidence-based means-- 7i7 demonstrating a rationale based on high-quality research findings or positive evaluation that the program or training-- 7,i7 is likely to improve relevant outcomes2 and 7,,ii7 includes ongoing efforts to examine the effects of the program or training2 or 7ii7 supported by documentation showing that the program or training-- 7,i7 has been effectively implemented in the past1 multiple times1 in accordance with scientific standards of evidence2 and 7,,ii7 demonstrates a consistent pattern of credible and positive effects4 7,b7 ,the term school-based mental health services provider includes a ,state-licensed or ,state-certified school counselor1 school psychologist1 school social worker1 or other ,state-licensed or certified mental health professional qualified under ,state law to provide mental health services to children and adolescents4 7,c7 ,the term school personnel means-- 7i7 principals or other heads of a school2 other professional instructional staff 7such as staff involved in curriculum development1 staff development1 or operating library1 media1 and computer centers72 specialized instructional support personnel such as school counselors1 school social workers1 and school psychologists2 and other qualified professional personnel1 such as school nurses1 speech language pathologists1 and school librarians1 involved in providing assessment1 diagnosis1 counseling1 and educational1 therapeutic1 and other necessary services2 and 7ii7 other school employees and contractors who interact with students1 including bus drivers1 cafeteria workers1 coaches1 janitorial staff1 and after-school program employees4 4 7c7 ,funding ,subsection 7n7 of section #ebj;,e of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf71 as redesignated by subsection 7b77#b71 is amended-- 7#a7 by striking ,for the purpose and inserting the following3 7#a7 ,in general ,for the purpose 2 7#b7 by striking #bjbb and inserting #bjbe2 and 7#c7 by adding at the end the following3 7#b7 ,allocation ,of the amounts made available to carry out this section for a fiscal year1 not less than #ae percent of such amounts shall be used for grants or cooperative agreements to carry out subsection 7a77#f7 7to establish and implement a statewide policy requiring school personnel in elementary and secondary schools and students in secondary schools to complete student emotional well-being1 mental health1 and suicide awareness and prevention training74 4