,,ii ,cal5d> ,no4 #abg #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 ,braun1 ,mr4 ,k+1 ,mr4 ,padilla1   
,ms4 ,/ab5[1 ,ms4 ,baldw91 ,mr4 ,lujn1 &
 ,ms4 ,murk[ski7 introduc$ ! foll[+     
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,septemb] #ba1      
#bjba,report$ by ,mrs4 ,murray1 ) an    
amendment,strike out all aft] ! enact+  
clause & ins]t ! "p pr9t$ 9 italic  ,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  #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 ,/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+  7a7 ,9 g5]al ,9     
aw>d+ funds "u section #ebj;,a1 !       
,secret>y %all give priority to         
applications "u su* section f a ,/ate   
educational ag5cy1 local educational    
ag5cy1 or ,tribal educational ag5cy1    
submitt$ directly or ?r\gh a ,/ate or   
,indian ,tribe1 = fund+ = activities 9  
second>y s*ools1 :]e su* ag5cy has      
implem5t$1 or includes 9 su* application
 a plan to implem5t1 a /ud5t suicide    
aw>5ess & prev5tion tra9+ policy1 :i*   
may include applicable y\? suicide e>ly 
int]v5tion & prev5tion /rategies        
implem5t$ ?r\gh section #ebj;,e-- 7#a7  

e/abli%+ & implem5t+ a s*ool-bas$ /ud5t 
suicide aw>5ess & prev5tion tra9+ policy
 9 accordance ) subsection 7c72  7#b7   
consult+ ) /akehold]s 7includ+          
pr9cipals1 tea*]s1 p>5ts1 local ,tribal 
(ficials1 & o!r relevant exp]ts7 &1 z   
appropriate1 utiliz+ in=mation1 models1 
& o!r res\rces made available by !      
,suicide ,prev5tion ,te*nical ,assi/ance
 ,c5t] au?oriz$ "u section #ebj;,c 9 !  
developm5t ( ! policy "u p>agraph 7#a72 
&  7#c7 collect+ & report+ in=mation 9  
accordance ) subsection 7d74  7b7       
,consid]ation ,9 giv+ priority to       
applicants z describ$ 9 subsection 7a71 
! ,secret>y %all1 z appropriate1 take   
into consid]ation ! incid5ce & preval5ce
 ( suicide 9 ! applicable jurisdiction &
 ! co/s ( e/abli%+ & implem5t+1 z       
applicable1 a s*ool-bas$ /ud5t suicide  
aw>5ess & prev5tion tra9+ policy4  7c7  
,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 

7a77#a7 %all-- 7#a7 be evid5ce-bas$2    
7#b7 be culturally- &                   
l+ui/ically-appropriate2  7#c7 provide  
evid5ce-bas$ tra9+ to /ud5ts 9 grades #f
 ?r\gh #ab1 9 coord9ation ) s*ool-bas$  
m5tal heal? res\rces1 z applicable1     
reg>d+-- 7,a7 suicide prev5tion         
education & aw>5ess1 includ+ associat$  
risk factors2  7,b7 me?ods t /ud5ts c   
use to seek help2 &  7,c7 /ud5t res\rces
 = suicide aw>5ess & prev5tion2 &  7#d7 
provide = p]iodic retra9+ ( su* /ud5ts4 
7d7 ,collection ( in=mation & report+   
,ea* ,/ate educational ag5cy1 local     
educational ag5cy1 & ,tribal educational
 ag5cy t receives priority to implem5t a
 new tra9+ policy pursuant to subsection
 7a77#a7 %all report to ! ,secret>y !   
foll[+ aggregat$ in=mation1 9 a mann] t 
protects p]sonal privacy1 consi/5t )    
applicable ,f$]al & ,/ate privacy laws3 
7#a7 ,! numb] ( tra9+s conduct$1 includ+
 ! numb] ( /ud5t tra9+s conduct$1 & !   
tra9+ deliv]y me?od us$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  7e7        
,evid5ce-,bas$ program availability ,!  
,secret>y %all coord9ate ) ! ,secret>y (
 ,education & ! ,secret>y ( ! ,int]ior  
to-- 7#a7 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
 9 accordance ) section #edc;,a2 &  7#b7
 provide te*nical assi/ance & dissem9ate
 be/ practices on /ud5t suicide aw>5ess 
& prev5tion tra9+ policies1 includ+     
?r\gh ! ,suicide ,prev5tion ,te*nical   
,assi/ance ,c5t] au?oriz$ "u section    
#ebj;,c1 z applicable1 to ,/ate         
educational ag5cies1 local educational  
ag5cies1 & ,tribal ag5cies4  7f7        
,implem5tation ,n lat] ?an ,septemb]    
#cj1 #bjbd1 ! ,secret>y %all report to !
 ,committee on ,heal?1 ,education1      
,labor1 & ,p5sions ( ! ,s5ate & !       

,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives ! numb] (       
recipi5ts ( funds "u section #ebj;,a :o 
h implem5t$ tra9+ policies describ$ 9   
subsection 7a77#a7 & a summ>y ( !       
in=mation receiv$ "u subsection 7d74    
7g7 ,def9itions ,9 ?is section3 7#a7 ,! 
t]m evid5ce-bas$ has ! mean+ giv5 su*   
t]m 9 section #haja ( ! ,elem5t>y &     
,second>y ,education ,act ( #aife4  7#b7
 ,! t]m local educational ag5cy has !   
mean+ giv5 to su* t]m 9 section #haja ( 
! ,elem5t>y & ,second>y ,education ,act 
( #aife4  7#c7 ,! t]m ,/ate educational 
ag5cy has ! mean+ giv5 to su* t]m 9     
section #haja ( ! ,elem5t>y & ,second>y 
,education ,act ( #aife4  7#d7 ,! t]m   
,tribal educational ag5cy has ! mean+   
giv5 to ! t]m tribal educational ag5cy 9
 section #facb ( ! ,elem5t>y & ,second>y
 ,education ,act ( #aife4  4  #c4       
,effective date ,! am5dm5t made by ?is  
,act %all apply only ) 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  ,septemb] #ba1 #bjba,report$ ) an
 am5dm5t