#aafth ,,congress  #b;d ,session  ,s4   
#bffa  ,,an ,,act  ,to amend the        
,communications ,act of #aicd to        
designate #i-h-h as the universal       
telephone number for the purpose of the 
national suicide prevention and mental  
health crisis hotline system operating  
through the ,national ,suicide          
,prevention ,lifeline and through the   
,veterans ,crisis ,line1 and for other  
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,national ,suicide  
,hotline ,designation ,act of #bjbj4    
#b4 ,findings ,congress finds the       
following3 7#a7 ,according to the       
,american ,foundation for ,suicide      
,prevention1 on average1 there are #abi 
suicides per day in the ,united ,states4
  7#b7 ,to prevent future suicides1 it  
is critical to transition the           
cumbersome1 existing #aj-;digit         
,national ,suicide ,hotline to a        
universal1 easy-to-remember1 #c-;digit  
phone number and connect people in      
crisis with life-saving resources4  7#c7

 ,it is essential that people in the    
,united ,states have access to a        
#c-;digit national suicide hotline      
across all geographic locations4  7#d7  
,the designated suicide hotline number  
will need to be both familiar and       
recognizable to all people in the       
,united ,states4  #c4 ,universal        
telephone number for national suicide   
prevention and mental health crisis     
hotline system  7a7 ,in general ,section
 #bea7;e7 of the ,communications ,act of
 #aicd 7#dg ,u4,s4,c4 #bea7;e77 is      
amended by adding at the end the        
following3  7#d7 ,universal telephone   
number for national suicide prevention  
and mental health crisis hotline system 
#i-h-h is designated as the universal   
telephone number within the ,united     
,states for the purpose of the national 
suicide prevention and mental health    
crisis hotline system operating through 
the ,national ,suicide ,prevention      
,lifeline maintained by the ,assistant  
,secretary for ,mental ,health and      

,substance ,use under section #ebj;,e-#c
 of the ,public ,health ,service ,act   
7#db ,u4,s4,c4 #bij;bb-#cf;c7 and       
through the ,veterans ,crisis ,line     
maintained by the ,secretary of         
,veterans ,affairs under section        
#agbj;,f7h7 of title #ch1 ,united       
,states ,code4  4  7b7 ,effective date  
,the amendment made by subsection 7a7   
shall take effect on the date that is #a
 year after the date of enactment of    
this ,act4  7c7 ,required report ,not   
later than #ahj days after the date of  
enactment of this ,act1 the ,assistant  
,secretary for ,mental ,health and      
,substance ,use and the ,secretary of   
,veterans ,affairs shall jointly submit 
a report that details the resources     
necessary to make the use of #i-h-h1 as 
designated under paragraph 7#d7 of      
section #bea7;e7 of the ,communications 
,act of #aicd 7#dg ,u4,s4,c4 #bea7;e771 
as added by subsection 7a7 of this      
section1 operational and effective      
across the ,united ,states to-- 7#a7 the

 ,committee on ,commerce1 ,science1 and 
,transportation of the ,senate2  7#b7   
the ,committee on ,appropriations of the
 ,senate2  7#c7 the ,committee on       
,energy and ,commerce of the ,house of  
,representatives2 and  7#d7 the         
,committee on ,appropriations of the    
,house of ,representatives4  #d4 ,state 
authority over fees  7a7 ,authority     
7#a7 ,in general ,nothing in this ,act1 
any amendment made by this ,act1 the    
,communications ,act of #aicd 7#dg      
,u4,s4,c4 #aea et seq471 or any         
,commission regulation or order may     
prevent the imposition and collection of
 a fee or charge applicable to a        
commercial mobile service or an         
,,ip-enabled voice service specifically 
designated by a ,state1 a political     
subdivision of a ,state1 an ,indian     
,tribe1 or village or regional          
corporation serving a region established
 pursuant to the ,alaska ,native ,claims
 ,settlement ,act 7#dc ,u4,s4,c4 #afja  
et seq47 for #i-h-h related services1 if

 the fee or charge is held in a         
sequestered account to be obligated or  
expended only in support of #i-h-h      
services1 or enhancements of such       
services1 as specified in the provision 
of ,state or local law adopting the fee 
or charge4  7#b7 ,use of #i-h-h funds ,a
 fee or charge collected under this     
subsection shall only be imposed1       
collected1 and used to pay expenses that
 a ,state1 a political subdivision of a 
,state1 an ,indian ,tribe1 or village or
 regional corporation serving a region  
established pursuant to the ,alaska     
,native ,claims ,settlement ,act 7#dc   
,u4,s4,c4 #afja et seq47 is expected to 
incur that are reasonably attributed    
to-- 7,a7 ensuring the efficient and    
effective routing of calls made to the  
#i-h-h national suicide prevention and  
mental health crisis hotline to an      
appropriate crisis center2 and  7,b7    
personnel and the provision of acute    
mental health1 crisis outreach and      
stabilization services by directly      

responding to the #i-h-h national       
suicide prevention and mental health    
crisis hotline4  7b7 ,fee accountability
 report ,to ensure efficiency1          
transparency1 and accountability in the 
collection and expenditure of a fee or  
charge for the support or implementation
 of #i-h-h services1 not later than #b  
years after the date of the enactment of
 this ,act1 and annually thereafter1 the
 ,commission shall submit to the        
,committees on ,commerce1 ,science1 and 
,transportation and ,appropriations of  
the ,senate and the ,committees on      
,energy and ,commerce and               
,appropriations of the ,house of        
,representatives a report that-- 7#a7   
details the status in each ,state1      
political subdivision of a ,state1      
,indian ,tribe1 or village or regional  
corporation serving a region established
 pursuant to the ,alaska ,native ,claims
 ,settlement ,act 7#dc ,u4,s4,c4 #afja  
et seq47 of the collection and          
distribution of such fees or charges2   

and  7#b7 includes findings on the      
amount of revenues obligated or expended
 by each ,state1 political subdivision  
of a ,state1 ,indian ,tribe1 or village 
or regional corporation serving a region
 established pursuant to the ,alaska    
,native ,claims ,settlement ,act 7#dc   
,u4,s4,c4 #afja et seq47 for any purpose
 other than the purpose for which any   
such fees or charges are specified4  7c7
 ,definitions ,in this section3 7#a7    
,commercial mobile service ,the term    
commercial mobile service has the       
meaning given that term under section   
#ccb7;d7 of the ,communications ,act of 
#aicd 7#dg ,u4,s4,c4 #ccb7;d774  7#b7   
,commission ,the term ,commission means 
the ,federal ,communications            
,commission4  7#c7 ,,ip-enabled voice   
service ,the term ,,ip-enabled voice    
service shall include-- 7,a7 an         
interconnected ,vo,i,p service1 as      
defined in section #i4c of the title #dg
 of the ,code of ,federal ,regulations1 
or any successor thereto2 and  7,b7 a   

one-way interconnected ,vo,i,p service4 
7#d7 ,state ,the term ,state has the    
meaning given that term in section #g of
 the ,wireless ,communications and      
,public ,safety ,act of #aiii 7#dg      
,u4,s4,c4 #fae;b74  #e4 ,location       
identification report  7a7 ,in general  
,not later than #ahj days after the date
 of the enactment of this ,act1 the     
,federal ,communications ,commission    
shall submit to the appropriate         
committees a report that examines the   
feasibility and cost of including an    
automatic dispatchable location that    
would be conveyed with a #i-h-h call1   
regardless of the technological platform
 used and including with calls from     
multi-line telephone systems 7as defined
 in section #fejb of the ,middle ,class 
,tax ,relief and ,job ,creation ,act of 
#bjab 7#dg ,u4,s4,c4 #adga774  7b7      
,definitions ,in this section3 7#a7     
,appropriate committees ,the term       
appropriate committees means the        
following3 7,a7 ,the ,committee on      

,commerce1 ,science1 and ,transportation
 of the ,senate4  7,b7 ,the ,committee  
on ,health1 ,education1 ,labor1 and     
,pensions of the ,senate4  7,c7 ,the    
,committee on ,energy and ,commerce of  
the ,house of ,representatives4  7#b7   
,dispatchable location ,the term        
dispatchable location means the street  
address of the calling party and        
additional information such as room     
number1 floor number1 or similar        
information necessary to adequately     
identify the location of the calling    
party4  #f4 ,report on certain training 
programs  7a7 ,sense of ,congress ,it is
 the sense of ,congress that-- 7#a7     
youth who are lesbian1 gay1 bisexual1   
transgender1 or queer 7referred to in   
this section as ,,lgbtq7 are more than  
#d times more likely to contemplate     
suicide than their peers1 with #a in #e 
,,lgbtq youth and more than #a in #c    
transgender youth reporting attempting  
suicide2  7#b7 ,american ,indian and    
,alaska ,natives have the highest rate  

of suicide of any racial or ethnic group
 in the ,united ,states with a suicide  
rate over #c4e times higher than the    
racial or ethnic group with the lowest  
rate1 with the suicide rate increasing1 
since #aiii1 by #aci percent for        
,american ,indian women and #ga percent 
for men2  7#c7 between #bjja and #bjae1 
the suicide death rate in rural counties
 in the ,united ,states was #ag4cb per  
#ajj1jjj individuals1 which is          
significantly greater than the national 
average1 and the data shows that between
 that same time period1 suicide rates   
increased for all age groups across all 
counties in the ,united ,states1 with   
the highest rates and the greatest      
increases being in more rural counties2 
and  7#d7 the ,substance ,abuse and     
,mental ,health ,services               
,administration must be equipped to     
provide specialized resources to these  
and other high-risk populations4  7b7   
,report ,not later than #ahj days after 
the date of enactment of this ,act1 the 

,assistant ,secretary for ,mental       
,health and ,substance ,use shall submit
 to the ,committee on ,commerce1        
,science1 and ,transportation of the    
,senate1 the ,committee on ,health1     
,education1 ,labor1 and ,pensions of the
 ,senate1 and the ,committee on ,energy 
and ,commerce of the ,house of          
,representatives a report that-- 7#a7   
details a strategy1 to be developed in  
consultation with the ,centers for      
,disease ,control and ,prevention1 the  
,national ,institute of ,mental ,health1
 and organizations capable of providing 
nationwide suicide prevention and crisis
 services for ,,lgbtq youth1 minorities1
 rural individuals1 or other high-risk  
populations1 for the ,substance ,abuse  
and ,mental ,health ,services           
,administration to offer1 support1 or   
provide technical assistance to training
 programs for ,national ,suicide        
,prevention ,lifeline counselors to     
increase competency in serving high-risk
 populations2 and  7#b7 includes        

recommendations regarding-- 7,a7 the    
facilitation of access to services that 
are provided to specially trained staff 
and partner organizations for ,,lgbtq   
youth1 minorities1 rural individuals1   
and other high-risk populations2 and    
7,b7 a strategy for optimally           
implementing an ,integrated ,voice      
,response1 or other equally effective   
mechanism1 to allow ,national ,suicide  
,prevention ,lifeline callers who are   
,,lgbtq youth1 minorities1 rural        
individuals1 or members of other        
high-risk populations to access         
specialized services4  ,passed the      
,senate ,may #ac1 #bjbj4,secretary