,,ib ,union ,calendar ,no4 #dbj #aafth ,,congress #b;d ,session ,h4 ,r4 #efai ,report ,no4 #aaf-ebj ,,in ,,the ,,house ,,of ,,representatives ,january #ae1 #bjbj,mr4 ,stewart 7for himself and ,ms4 ,matsui7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,september #ah1 #bjbj;,additional sponsors3 ,mr4 ,cicilline1 ,mr4 ,harder of ,california1 ,mr4 ,trone1 and ,mr4 ,delgado ,september #ah1 #bjbj,reported with an amendment2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed,strike out all after the enacting clause and insert the part printed in italic,for text of introduced bill1 see copy of bill as introduced on ,january #ae1 #bjbj ,a ,,bill ,to authorize a pilot program to expand and intensify surveillance of self-harm in partnership with ,state and local public health departments1 to establish a grant program to provide self-harm and suicide prevention services in hospital emergency departments1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,suicide ,prevention ,act4 #b4 ,syndromic surveillance of self-harm behaviors program ,title ,,iii of the ,public ,health ,service ,act is amended by inserting after section #cag,u of such ,act 7#db ,u4,s4,c4 #bdg;b-#bc7 the following3 #cag,v4 ,syndromic surveillance of self-harm behaviors program 7a7 ,in general ,the ,secretary shall award grants to ,state1 local1 ,tribal1 and territorial public health departments for the expansion of surveillance of self-harm4 7b7 ,data sharing by grantees ,as a condition of receipt of such grant under subsection 7a71 each grantee shall agree to share with the ,centers for ,disease ,control and ,prevention in real time1 to the extent feasible and as specified in the grant agreement1 data on suicides and self-harm for purposes of-- 7#a7 tracking and monitoring self-harm to inform response activities to suicide clusters2 7#b7 informing prevention programming for identified at-risk populations2 and 7#c7 conducting or supporting research4 7c7 ,disaggregation of data ,the ,secretary shall provide for the data collected through surveillance of self-harm under subsection 7b7 to be disaggregated by the following categories3 7#a7 ,nonfatal self-harm data of any intent4 7#b7 ,data on suicidal ideation4 7#c7 ,data on self-harm where there is no evidence1 whether implicit or explicit1 of suicidal intent4 7#d7 ,data on self-harm where there is evidence1 whether implicit or explicit1 of suicidal intent4 7#e7 ,data on self-harm where suicidal intent is unclear based on the available evidence4 7d7 ,priority ,in making awards under subsection 7a71 the ,secretary shall give priority to eligible entities that are-- 7#a7 located in a ,state with an age-adjusted rate of nonfatal suicidal behavior that is above the national rate of nonfatal suicidal behavior1 as determined by the ,director of the ,centers for ,disease ,control and ,prevention2 7#b7 serving an ,indian ,tribe 7as defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act7 with an age-adjusted rate of nonfatal suicidal behavior that is above the national rate of nonfatal suicidal behavior1 as determined through appropriate mechanisms determined by the ,secretary in consultation with ,indian ,tribes2 or 7#c7 located in a ,state with a high rate of coverage of statewide 7or ,tribal7 emergency department visits1 as determined by the ,director of the ,centers for ,disease ,control and ,prevention4 7e7 ,geographic distribution ,in making grants under this section1 the ,secretary shall make an effort to ensure geographic distribution1 taking into account the unique needs of rural communities1 including-- 7#a7 communities with an incidence of individuals with serious mental illness1 demonstrated suicidal ideation or behavior1 or suicide rates that are above the national average1 as determined by the ,assistant ,secretary for ,mental ,health and ,substance ,use2 7#b7 communities with a shortage of prevention and treatment services1 as determined by the ,assistant ,secretary for ,mental ,health and ,substance ,use and the ,administrator of the ,health ,resources and ,services ,administration2 and 7#c7 other appropriate community-level factors and social determinants of health such as income1 employment1 and education4 7f7 ,period of participation ,to be selected as a grant recipient under this section1 a ,state1 local1 ,tribal1 or territorial public health department shall agree to participate in the program for a period of not less than #d years4 7g7 ,technical assistance ,the ,secretary shall provide technical assistance and training to grantees for collecting and sharing the data under subsection 7b74 7h7 ,data sharing by ,,hhs ,subject to subsection 7b71 the ,secretary shall1 with respect to data on self-harm that is collected pursuant to this section1 share and integrate such data through-- 7#a7 the ,national ,syndromic ,surveillance ,program's ,early ,notification of ,community ,epidemics 7,,essence7 platform 7or any successor platform72 7#b7 the ,national ,violent ,death ,reporting ,system1 as appropriate2 or 7#c7 another appropriate surveillance program1 including such a program that collects data on suicides and self-harm among special populations1 such as members of the military and veterans4 7i7 ,rule of construction regarding applicability of privacy protections ,nothing in this section shall be construed to limit or alter the application of ,federal or ,state law relating to the privacy of information to data or information that is collected or created under this section4 7j7 ,report 7#a7 ,submission ,not later than #c years after the date of enactment of this ,act1 the ,secretary shall evaluate the suicide and self-harm syndromic surveillance systems at the ,federal1 ,state1 and local levels and submit a report to ,congress on the data collected under subsections 7b7 and 7c7 in a manner that prevents the disclosure of individually identifiable information1 at a minimum1 consistent with all applicable privacy laws and regulations4 7#b7 ,contents ,in addition to the data collected under subsections 7b7 and 7c71 the report under paragraph 7#a7 shall include-- 7,a7 challenges and gaps in data collection and reporting2 7,b7 recommendations to address such gaps and challenges2 and 7,c7 a description of any public health responses initiated at the ,federal1 ,state1 or local level in response to the data collected4 7k7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated #bj1jjj1jjj for each of fiscal years #bjba through #bjbe4 4 #c4 ,grants to provide self-harm and suicide prevention services ,part ,b of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is amended by adding at the end the following3 #ebj,n4 ,grants to provide self-harm and suicide prevention services 7a7 ,in general ,the ,secretary of ,health and ,human ,services shall award grants to hospital emergency departments to provide self-harm and suicide prevention services4 7b7 ,activities supported 7#a7 ,in general ,a hospital emergency department awarded a grant under subsection 7a7 shall use amounts under the grant to implement a program or protocol to better prevent suicide attempts among hospital patients after discharge1 which may include-- 7,a7 screening patients for self-harm and suicide in accordance with the standards of practice described in subsection 7e77#a7 and standards of care established by appropriate medical and advocacy organizations2 7,b7 providing patients short-term self-harm and suicide prevention services in accordance with the results of the screenings described in subparagraph 7,a72 and 7,c7 referring patients1 as appropriate1 to a health care facility or provider for purposes of receiving long-term self-harm and suicide prevention services1 and providing any additional follow up services and care identified as appropriate as a result of the screenings and short-term self-harm and suicide prevention services described in subparagraphs 7,a7 and 7,b74 7#b7 ,use of funds to hire and train staff ,amounts awarded under subsection 7a7 may be used to hire clinical social workers1 mental and behavioral health care professionals1 and support staff as appropriate1 and to train existing staff and newly hired staff to carry out the activities described in paragraph 7#a74 7c7 ,grant terms ,a grant awarded under subsection 7a7-- 7#a7 shall be for a period of #c years2 and 7#b7 may be renewed subject to the requirements of this section4 7d7 ,applications ,a hospital emergency department seeking a grant under subsection 7a7 shall submit an application to the ,secretary at such time1 in such manner1 and accompanied by such information as the ,secretary may require4 7e7 ,standards of ,practice 7#a7 ,in general ,not later than #ahj days after the date of the enactment of this section1 the ,secretary shall develop standards of practice for screening patients for self-harm and suicide for purposes of carrying out subsection 7b77#a77;,c74 7#b7 ,consultation ,the ,secretary shall develop the standards of practice described in paragraph 7#a7 in consultation with individuals and entities with expertise in self-harm and suicide prevention1 including public1 private1 and non-profit entities4 7f7 ,reporting 7#a7 ,reports to the ,secretary 7,a7 ,in general ,a hospital emergency department awarded a grant under subsection 7a7 shall1 at least quarterly for the duration of the grant1 submit to the ,secretary a report evaluating the activities supported by the grant4 7,b7 ,matters to be included ,the report required under subparagraph 7,a7 shall include-- 7i7 the number of patients receiving-- 7,i7 screenings carried out at the hospital emergency department2 7,,ii7 short-term self-harm and suicide prevention services at the hospital emergency department2 and 7,,iii7 referrals to health care facilities for the purposes of receiving long-term self-harm and suicide prevention2 7ii7 information on the adherence of the hospital emergency department to the standards of practice described in subsection 7f77#a72 and 7iii7 other information as the ,secretary determines appropriate to evaluate the use of grant funds4 7#b7 ,reports to ,congress ,not later than #b years after the date of the enactment of the ,suicide ,prevention ,act1 and biennially thereafter1 the ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report on the grant program under this section1 including-- 7,a7 a summary of reports received by the ,secretary under paragraph 7#a72 and 7,b7 an evaluation of the program by the ,secretary4 7g7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated #cj1jjj1jjj for each of fiscal years #bjba through #bjbe4 4 ,september #ah1 #bjbj,reported with an amendment2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed