,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #caih  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,janu>y #ae1 #bjbj,mr4 
,re$ 7= himself & ,mr4 ,k5n$y7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions  ,a      
,,bill  ,to au?orize a pilot program to 
exp& & int5sify surveillance ( self-h>m 
9 p>tn]%ip ) ,/ate & local public heal? 
dep>tm5ts1 to e/abli% a grant program to
 provide self-h>m & suicide prev5tion   
s]vices 9 hospital em]g5cy dep>tm5ts1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,suicide ,prev5tion
 ,act4  #b4 ,syndromic surveillance (   
self-h>m behaviors program ,title ,,iii 
( ! ,public ,heal? ,s]vice ,act is am5d$
 by ins]t+ aft] section #cag,t ( su*    
,act 7#db ,u4,s4,c4 #bdg;b-#bb7 !       
foll[+3  #cag,u4 ,syndromic surveillance
 ( self-h>m behaviors program  7a7 ,9   
g5]al ,! ,secret>y1 act+ ?r\gh !        
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all aw>d grants to      

,/ate1 local1 ,tribal1 & t]ritorial     
public heal? dep>tm5ts = ! expansion (  
surveillance ( self-h>m4  7b7 ,data %>+ 
by grantees ,z a condition ( receipt (  
su* grant "u subsection 7a71 ea* grantee
 %all agree to %>e ) ! ,c5t]s = ,disease
 ,control & ,prev5tion 9 real "t1 to !  
ext5t feasible & z specifi$ 9 ! grant   
agreem5t1 data on suicides & self-h>m = 
purposes (--  7#a7 track+ & monitor+    
self-h>m to in=m response activities to 
suicide clu/]s2  7#b7 in=m+ prev5tion   
programm+ = id5tifi$ at-risk            
populations2 &  7#c7 conduct+ or        
support+ rese>*4  7c7 ,disaggregation ( 
data ,! ,secret>y %all provide = ! data 
collect$ ?r\gh surveillance ( self-h>m  
"u subsection 7b7 to be disaggregat$ by 
! foll[+ categories3  7#a7 ,nonfatal    
self-h>m data ( any int5t4  7#b7 ,data  
on suicidal ideation4  7#c7 ,data on    
self-h>m :]e !re is no evid5ce1 :e!r    
implicit or explicit1 ( suicidal int5t4 
7#d7 ,data on self-h>m :]e !re is       
evid5ce1 :e!r implicit or explicit1 (   

suicidal int5t4  7#e7 ,data on self-h>m 
:]e suicidal int5t is uncle> bas$ on !  
available evid5ce4  7d7 ,priority ,9    
mak+ aw>ds "u subsection 7a71 !         
,secret>y %all give priority to eligible
 entities t are--  7#a7 locat$ 9 a ,/ate
 ) an age-adju/$ rate ( suicide dea? t  
is above ! national suicide mortality   
rate1 z det]m9$ by ! ,director ( !      
,c5t]s = ,disease ,control & ,prev5tion2
  7#b7 s]v+ an ,indian ,tribe 7z def9$ 9
 section #d ( ! ,indian                 
,self-,det]m9ation & ,education         
,assi/ance ,act7 ) an age-adju/$ rate ( 
suicide dea?s t is above ! national     
suicide mortality rate1 z det]m9$ ?r\gh 
appropriate me*anisms det]m9$ by !      
,secret>y 9 consultation ) ,indian      
,tribes2 or  7#c7 locat$ 9 a ,/ate ) a  
high rate ( cov]age ( /atewide 7or      
,tribal7 em]g5cy dep>tm5t visits1 z     
det]m9$ by ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion4  7e7    
,geographic di/ribution ,9 mak+ grants  
"u ?is section1 ! ,secret>y %all make an

 ef=t to ensure geographic di/ribution1 
tak+ into acc\nt ! unique ne$s ( rural  
communities1 includ+--  7#a7 communities
 ) an incid5ce ( individuals ) s]i\s    
m5tal illness1 demon/rat$ suicidal      
ideation or behavior1 or suicide rates t
 are above ! national av]age1 z det]m9$ 
by ! ,assi/ant ,secret>y = ,m5tal ,heal?
 & ,sub/ance ,use2  7#b7 communities ) a
 %ortage ( prev5tion & treatm5t s]vices1
 z det]m9$ by ! ,assi/ant ,secret>y =   
,m5tal ,heal? & ,sub/ance ,use & !      
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration2 &  7#c7 o!r     
appropriate community-level factors &   
social det]m9ants ( heal? su* z income1 
employm5t1 & education4  7f7 ,p]iod (   
p>ticipation ,to be select$ z a grant   
recipi5t "u ?is section1 a ,/ate1 local1
 ,tribal1 or t]ritorial public heal?    
dep>tm5t %all agree to p>ticipate 9 !   
program = a p]iod ( n less ?an #b ye>s4 
7g7 ,te*nical assi/ance ,! ,secret>y    
%all provide te*nical assi/ance & tra9+ 
to grantees = collect+ & %>+ ! data "u  

subsection 7b74  7h7 ,data %>+ by ,,hhs 
,subject to subsection 7b71 ! ,secret>y 
%all1 ) respect to data on self-h>m t is
 collect$ pursuant to ?is section1 %>e &
 integrate su* data ?r\gh--  7#a7 !     
,national ,syndromic ,surveillance      
,program's ,e>ly ,notification (        
,community ,epidemics 7,,ess5ce7 plat=m 
7or any successor plat=m72  7#b7 !      
,national ,viol5t ,dea? ,report+ ,sy/em1
 z appropriate2 or  7#c7 ano!r          
appropriate surveillance program1       
includ+ su* a program t collects data on
 suicides & self-h>m among special      
populations1 su* z memb]s ( ! milit>y & 
vet]ans4  7i7 ,rule ( con/ruction reg>d+
 applicability ( privacy protections    
,no?+ 9 ?is section %all be con/ru$ to  
limit or alt] ! application ( ,f$]al or 
,/ate law relat+ to ! privacy (         
in=mation to data or in=mation t is     
collect$ or creat$ "u ?is section4  7j7 
,report  7#a7 ,submission ,n lat] ?an #c
 ye>s aft] ! date ( enactm5t ( ?is ,act1
 ! ,secret>y %all evaluate ! suicide &  

self-h>m syndromic surveillance sy/ems  
at ! ,f$]al1 ,/ate1 & local levels &    
submit a report to ,congress on ! data  
collect$ "u subsections 7b7 & 7c7 9 a   
mann] t prev5ts ! disclosure (          
individually id5tifiable in=mation1 at a
 m9imum1 consi/5t ) all applicable      
privacy laws & regulations4  7#b7       
,cont5ts ,9 addition to ! data collect$ 
"u subsections 7b7 & 7c71 ! report "u   
p>agraph 7#a7 %all include--  7,a7      
*all5ges & gaps 9 data collection &     
report+2  7,b7 recomm5dations to address
 su* gaps & *all5ges2 &  7,c7 a         
description ( any public heal? responses
 initiat$ at ! ,f$]al1 ,/ate1 or local  
level 9 response to ! data collect$4    
7k7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re are au?oriz$  
to be appropriat$ #aj1jjj1jjj = ea* (   
fiscal ye>s #bjba ?r\gh #bjbe4  4  #c4  
,grants to provide self-h>m & suicide   
prev5tion s]vices ,"p ,b ( title ,v ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;aa et seq47 is am5d$ by  

add+ at ! end ! foll[+3  #ebj,n4 ,grants
 to provide self-h>m & suicide prev5tion
 s]vices  7a7 ,9 g5]al ,! ,secret>y (   
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use1 %all aw>d grants to     
hospital em]g5cy dep>tm5ts to provide   
self-h>m & suicide prev5tion s]vices4   
7b7 ,activities support$  7#a7 ,9 g5]al 
,a hospital em]g5cy dep>tm5t aw>d$ a    
grant "u subsection 7a7 %all use am\nts 
"u ! grant to implem5t a program or     
protocol to bett] prev5t suicide        
attempts among hospital pati5ts aft]    
dis*>ge1 :i* may include--  7,a7 scre5+ 
pati5ts = self-h>m & suicide 9          
accordance ) ! /&>ds ( practice describ$
 9 subsection 7e77#a7 & /&>ds ( c>e     
e/abli%$ by appropriate m$ical &        
advocacy organizations2  7,b7 provid+   
pati5ts %ort-t]m self-h>m & suicide     
prev5tion s]vices 9 accordance ) !      
results ( ! scre5+s describ$ 9          
subp>agraph 7,a72 &  7,c7 ref]r+        
pati5ts1 z appropriate1 to a heal? c>e  

facility or provid] = purposes ( receiv+
 long-t]m self-h>m & suicide prev5tion  
s]vices1 & provid+ any additional foll[ 
up s]vices & c>e id5tifi$ z appropriate 
z a result ( ! scre5+s & %ort-t]m       
self-h>m & suicide prev5tion s]vices    
describ$ 9 subp>agraphs 7,a7 & 7,b74    
7#b7 ,use ( funds to hire & tra9 /aff   
,am\nts aw>d$ "u subsection 7a7 may be  
us$ to hire cl9ical social work]s1 m5tal
 & behavioral heal? c>e pr(essionals1 & 
support /aff z appropriate1 & to tra9   
exi/+ /aff & newly hir$ /aff to c>ry out
 ! activities describ$ 9 p>agraph 7#a74 
7c7 ,grant t]ms ,a grant aw>d$ "u       
subsection 7a7-- 7#a7 %all be = a p]iod 
( #c ye>s2 &  7#b7 may be r5ew$ subject 
to ! requirem5ts ( ?is section4  7d7    
,applications ,a hospital em]g5cy       
dep>tm5t seek+ a grant "u subsection 7a7
 %all submit an application to !        
,secret>y at su* "t1 9 su* mann]1 &     
accompani$ by su* in=mation z !         
,secret>y may require4  7e7 ,/&>ds (    
,practice  7#a7 ,9 g5]al ,n lat] ?an    

#ahj days aft] ! date ( ! enactm5t ( ?is
 section1 ! ,secret>y %all develop /&>ds
 ( practice = scre5+ pati5ts = self-h>m 
& suicide = purposes ( c>ry+ out        
subsection 7b77#a77;,c74  7#b7          
,consultation ,! ,secret>y %all develop 
! /&>ds ( practice describ$ 9 p>agraph  
7#a7 9 consultation ) individuals &     
entities ) exp]tise 9 self-h>m & suicide
 prev5tion1 includ+ public1 private1 &  
non-pr(it entities4  7f7 ,report+  7#a7 
,reports to ! ,secret>y  7,a7 ,9 g5]al  
,a hospital em]g5cy dep>tm5t aw>d$ a    
grant "u subsection 7a7 %all1 at lea/   
qu>t]ly = ! duration ( ! grant1 submit  
to ! ,secret>y a report evaluat+ !      
activities support$ by ! grant4  7,b7   
,matt]s to be includ$ ,! report requir$ 
"u subp>agraph 7,a7 %all include-- 7i7 !
 numb] ( pati5ts receiv+--  7,i7 scre5+s
 c>ri$ out at ! hospital em]g5cy        
dep>tm5t2  7,,ii7 %ort-t]m self-h>m &   
suicide prev5tion s]vices at ! hospital 
em]g5cy dep>tm5t2 &  7,,iii7 ref]rals to
 heal? c>e facilities = ! purposes (    

receiv+ long-t]m self-h>m & suicide     
prev5tion2  7ii7 in=mation on ! adh]5ce 
( ! hospital em]g5cy dep>tm5t to ! /&>ds
 ( practice describ$ 9 subsection       
7f77#a72 &  7iii7 o!r in=mation z !     
,secret>y det]m9es appropriate to       
evaluate ! use ( grant funds4  7#b7     
,reports to ,congress & 9 ! ,dep>tm5t ( 
,heal? & ,human ,s]vices ,n lat] ?an #b 
ye>s aft] ! date ( ! enactm5t ( !       
,suicide ,prev5tion ,act1 & bi5nially   
!reaft]1 ! ,secret>y %all submit to !   
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate1 !        
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 & !            
subcompon5ts ( ! ,dep>tm5t ( ,heal? &   
,human ,s]vices describ$ 9 p>agraph 7#c7
 a report on ! grant program "u ?is     
section1 includ+--  7,a7 a summ>y (     
reports receiv$ by ! ,secret>y "u       
p>agraph 7#a72 &  7,b7 an evaluation ( !
 program by ! ,secret>y4  7#c7 ,report+ 
9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices
 ,! subcompon5ts ( ! ,dep>tm5t ( ,heal? 

& ,human ,s]vices describ$ 9 p>agraph   
7#b7 are ! ,c5t]s = ,disease ,control & 
,prev5tion & ! ,national ,in/itute (    
,m5tal ,heal?4  7g7 ,au?orization (     
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$     
#cj1jjj1jjj = ea* ( fiscal ye>s #bjba   
?r\gh #bjbe4  4