,,ii  #aag? ,,congress  #a/ ,session    
,s4 #aedc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #aj1 #bjba,ms4    
,hassan 7= h]self1 ,ms4 ,ern/1 ,mr4     
,blum5?al1 ,mrs4 ,capito1 ,mr4 ,coons1  
,mr4 ,cornyn1 ,mr4 ,m>key1 ,mrs4 ,%ahe51
 ,mr4 ,tillis1 ,mr4 ,murphy1 & ,mr4     
,braun7 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to provide be/ practices on
 /ud5t suicide aw>5ess & prev5tion tra9+
 & condition ,/ate educational ag5cies1 
local educational ag5cies1 & tribal     
educational ag5cies receiv+ funds "u    
section #ebj;,a ( su* ,act to e/abli% & 
implem5t a s*ool-bas$ /ud5t suicide     
aw>5ess & prev5tion tra9+ policy4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,suicide ,tra9+ & ,aw>5ess ,nationally  
,deliv]$ = ,univ]sal ,prev5tion ,act (  
#bjba or ! ,,/&up ,act ( #bjba4  #b4    
,f9d+s ,! ,congress f9ds z foll[s3 7#a7 
,s9ce #bjaj1 suicide has be5 !          

second-lead+ cause ( dea? = "y p ages   
#aj ?r\gh #bd4 ,9 #bjai1 #f1dhh "y p    
ages #aj-bd di$ by suicide4  7#b7 ,bas$ 
on ! #bjai ,y\? ,risk ,behavior ,survey 
( ! ,c5t]s = ,disease ,control &        
,prev5tion 79 ?is section ref]r$ to z   
,,cdc71 #h4i p]c5t ( y\? 9 grades #i-ab 
report$ t !y made at lea/ "o suicide    
attempt dur+ ! #ab mon?s be=e ! survey4 
7#c7 ,:ile !re is no complete c\nt (    
suicide attempts 9 ! ,unit$ ,/ates1     
,,cdc data sugge/s t = e report$ dea? by
 suicide among p ages #aj ?r\gh #bd1    
approximately #cc4e "y p visit a        
hospital = self-h>m relat$ injuries4    
7#d7 ,9 #bjai1 suicide 0 ! t5?-lead+    
cause ( dea? ov]all 9 ! ,unit$ ,/ates1 )
 ov] #dg1ejj p dy+ by suicide1 & !re 7 m
 ?an twice z _m suicides 9 ! ,unit$     
,/ates z !re 7 homicides4  7#e7 ,y\? (t5
 display w>n+ signs & signals be=e h>m+ 
!mselves or o!rs4 ,rese>* %[s t #gj     
p]c5t ( ^? :o die by suicide tell       
someone ( _! plans or give ano!r w>n+   
sign4  7#f7 ,accord+ to ! ,,cdc1 ! rates

 ( suicide among non-,hispanic ,am]ican 
,indians & ,alaska ,natives 7 #fj p]c5t 
great] ?an ! g5]al population 9 #bjai & 
are ! highe/ ( any racial or e?nic gr\p 
9 ! ,unit$ ,/ates4 ,9 addition1 a /udy (
 ,,cdc data f #bjja ?r\gh #bjae %[s t   
suicide rates = ,black *ildr5 ages #e   
?r\gh #ab 7 r\ghly #b times high] ?an ^?
 ( simil>ly ag$ ,:ite *ildr54  #c4      
,/ud5t suicide aw>5ess & prev5tion tra9+
  7a7 ,9 g5]al ,title ,v ( ! ,public    
,heal? ,s]vice ,act is am5d$ by ins]t+  
aft] section #ebj;,a ( su* ,act 7#db    
,u4,s4,c4 #bij;bb-#cb7 ! foll[+3        
#ebj;,b4 ,/ud5t suicide aw>5ess &       
prev5tion tra9+ policies  7a7 ,9 g5]al  
,z a condition on receipt ( funds "u    
section #ebj;,a1 ea* ,/ate educational  
ag5cy1 local educational ag5cy1 & tribal
 educational ag5cy t receives su* funds1
 directly or ?r\gh a ,/ate or ,indian   
,tribe1 = activities to be p]=m$ 9      
s*ools ) respect to grades #f ?r\gh #ab1
 includ+ ! ,project ,,aw>e ,/ate        
,education ,ag5cy ,grant ,program1      

%all-- 7#a7 e/abli% & implem5t a        
s*ool-bas$ /ud5t suicide aw>5ess &      
prev5tion tra9+ policy2  7#b7 consult ) 
/akehold]s 7includ+ pr9cipals1 tea*]s1  
p>5ts1 local tribal (ficials1 & o!r     
s*ool lead]s7 9 ! developm5t ( ! policy 
"u subsection 7a77#a72 &  7#c7 collect &
 report in=mation 9 accordance )        
subsection 7c74  7b7 ,s*ool-,bas$ /ud5t 
suicide aw>5ess & prev5tion tra9+ policy
 ,a s*ool-bas$ /ud5t suicide aw>5ess &  
prev5tion tra9+ policy implem5t$        
pursuant to subsection 7a7-- 7#a7 %all  
be evid5ce-bas$2  7#b7 %all be          
culturally & l+ui/ically appropriate2   
7#c7 %all provide evid5ce-bas$ tra9+ to 
/ud5ts 9 grades #f ?r\gh #ab1 us+       
s*ool-bas$ m5tal heal? s]vice provid]s1 
if su* provid]s are reasonably          
available1 reg>d+-- 7,a7 suicide        
education & aw>5ess1 includ+ w>n+ signs 
= suicide & self-h>m2  7,b7 me?ods t    
/ud5ts c use to seek help = !mselves &  
o!rs2 &  7,c7 /ud5t res\rces = suicide  
aw>5ess & prev5tion2  7#d7 %all provide 

= retra9+ ( su* /ud5ts e s*ool ye>2     
7#e7 may la/ = su* p]iod z ! ,/ate      
educational ag5cy1 local educational    
ag5cy1 or tribal educational ag5cy      
involv$ det]m9es to be appropriate2     
7#f7 may be implem5t$ ?r\gh any deliv]y 
me?od1 includ+ 9-p]son tra9+s1 digital  
tra9+s1 or tra9-!-tra9] models2 &  7#g7 
may include discussion ( comorbidities &
 risk factors = suicidal ideation or    
self-h>m1 includ+ sub/ance misuse1      
sexual1 or physical abuse1 m5tal        
illness1 & o!r evid5ce-bas$             
comorbidities or risk factors4  7c7     
,collection ( in=mation & report+ ,ea*  
,/ate educational ag5cy1 local          
educational ag5cy1 & tribal educational 
ag5cy t receives funds "u section       
#ebj;,a %all1 ) respect to ea* s*ool    
s]v$ by ! ag5cy1 collect & report to !  
,secret>y ! foll[+ in=mation3 7#a7 ,!   
numb] ( /ud5t tra9+s conduct$4  7#b7 ,! 
numb] ( /ud5ts tra9$1 disaggregat$ by   
age & grade level4  7#c7 ,! numb] (     
help-seek+ reports made by /ud5ts aft]  

implem5tation ( su* policy4  7d7        
,evid5ce-,bas$ program li/+ ,!          
,secret>y1 9 consultation ) ! ,secret>y 
( ,education1 %all make publicly        
available ! policies e/abli%$ by ,/ate  
educational ag5cies1 local educational  
ag5cies1 & tribal educational ag5cies   
pursuant to ?is section & ! tra9+ t is  
available to /ud5ts & teams pursuant to 
su* policies1 includ+ id5tification (   
:e!r su* tra9+ is available to tra9ees  
at no co/4  7e7 ,implem5tation timel9e  
,a ,/ate educational ag5cy1 local       
educational ag5cy1 or tribal educational
 ag5cy %all e/abli% & beg9 implem5tation
 ( ! policies requir$ by subsection     
7a77#a7 n lat] ?an ! beg9n+ ( ! ?ird    
fiscal ye> foll[+ ! date ( enactm5t (   
?is section = :i* ! ag5cy receives funds
 "u section #ebj;,a4  7f7 ,def9itions ,9
 ?is section3 7#a7 ,! t]m evid5ce-bas$  
has ! mean+ giv5 to su* t]m 9 section   
#haja ( ! ,elem5t>y & ,second>y         
,education ,act ( #aife4  7#b7 ,! t]m   
local education ag5cy has ! mean+ giv5  

to su* t]m 9 section #haja ( ! ,elem5t>y
 & ,second>y ,education ,act ( #aife4   
7#c7 ,! t]m s*ool-bas$ m5tal heal?      
s]vice provid] has ! mean+ giv5 to su*  
t]m 9 section #dajb7f7 ( ! ,elem5t>y &  
,second>y ,education ,act ( #aife4  7#d7
 ,! t]m ,/ate educational ag5cy has !   
mean+ giv5 to su* t]m 9 section #haja ( 
! ,elem5t>y & ,second>y ,education ,act 
( #aife4  7#e7 ,! t]m tribal educational
 ag5cy has ! mean+ giv5 to su* t]m 9    
section #facb ( ! ,elem5t>y & ,second>y 
,education ,act ( #aife4  #ebj;,b-#a4   
,be/ practices = /ud5t suicide aw>5ess &
 prev5tion tra9+ ,! ,secret>y1 act+     
?r\gh ! ,assi/ant ,secret>y1 9          
consultation ) ! ,secret>y ( ,education 
& ! ,bureau ( ,indian ,education1 %all--
 7#a7 publi% be/ practices = s*ool-bas$ 
/ud5t suicide aw>5ess & prev5tion tra9+1
 pursuant to section #ebj;,b1 t are bas$
 on-- 7,a7 evid5ce-bas$ practices2 &    
7,b7 input f relevant ,f$]al ag5cies1   
national organizations1 ,indian tribes &
 tribal organizations1 & relat$         

/akehold]s2  7#b7 publi% guidance1 bas$ 
on ! be/ practices "u p>agraph 7#a71 to 
provide ,/ate educational ag5cies1 local
 educational ag5cies1 & tribal          
educational ag5cies ) in=mation on /ud5t
 suicide aw>5ess & prev5tion be/        
practices2  7#c7 dissem9ate su* be/     
practices to ,/ate educational ag5cies1 
local educational ag5cies1 & tribal     
educational ag5cies2 &  7#d7 provide    
te*nical assi/ance to ,/ate educational 
ag5cies1 local educational ag5cies1 &   
tribal educational ag5cies4  4  #d4     
,effective date ,! am5dm5ts made by ?is 
,act %all only apply ) respect to       
applications = assi/ance "u section     
#ebj;,a ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bij;bb-#cb7 t are       
submitt$ aft] ! date ( enactm5t ( ?is   
,act4