,,ii ,cal5d> ,no4 #abh #aag? ,,congress #a/ ,session ,s4 #bdbe ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #ba1 #bjba,mr4 ,re$ 7= himself1 ,mr4 ,moran1 ,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 ensure ! provision ( high-quality s]vice ?r\gh ! ,suicide ,prev5tion ,lifel9e1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,suicide ,prev5tion ,lifel9e ,improvem5t ,act ( #bjba4 #b4 ,suicide ,prev5tion ,lifel9e 7a7 ,plan ,section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is am5d$-- 7#a7 by r$esignat+ subsection 7c7 z subsection 7e72 & 7#b7 by ins]t+ aft] subsection 7b7 ! foll[+3 7c7 ,plan 7#a7 ,9 g5]al ,= purposes ( ma9ta9+ ! suicide prev5tion hotl9e "u subsection 7b77#b71 ! ,secret>y %all develop & implem5t a plan to ensure ! provision ( high-quality s]vice4 7#b7 ,cont5ts ,! plan requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,quality assurance provisions1 includ+-- 7i7 cle>ly def9$ & measurable p]=mance indicators & objectives to improve ! responsiv5ess & p]=mance ( ! hotl9e1 includ+ at backup call c5t]s2 & 7ii7 quantifiable timeframes to track ! progress ( ! hotl9e 9 meet+ su* p]=mance indicators & objectives4 7,b7 ,/&>ds t crisis c5t]s & backup c5t]s mu/ meet-- 7i7 to p>ticipate 9 ! network "u subsection 7b77#a72 & 7ii7 to ensure t ea* telephone call1 onl9e *at message1 & o!r communication receiv$ by ! hotl9e1 includ+ at backup call c5t]s1 is answ]$ 9 a timely mann] by a p]son1 consi/5t ) ! guidance e/abli%$ by ! ,am]ican ,association ( ,suicidology or o!r guidance det]m9$ by ! ,secret>y to be appropriate4 7,c7 ,guidel9es = crisis c5t]s & backup c5t]s to implem5t evid5ce-bas$ practices includ+ ) respect to foll[up & ref]ral to o!r heal? & social s]vices res\rces4 7,d7 ,guidel9es to ensure t res\rces are available & di/ribut$ to individuals us+ ! hotl9e :o are n p]sonally 9 a "t ( crisis b "k ( someone :o is4 7,e7 ,guidel9es to c>ry out p]iodic te/+ ( ! hotl9e1 includ+ at crisis c5t]s & backup c5t]s1 dur+ ea* fiscal ye> to id5tify & correct any problems 9 a timely mann]4 7,f7 ,guidel9es to op]ate 9 consultation ) ! ,/ate dep>tm5t ( heal?1 local gov]nm5ts1 ,indian tribes1 & tribal organizations4 7#c7 ,initial plan2 updates ,! ,secret>y %all-- 7,a7 n lat] ?an #f mon?s aft] ! date ( enactm5t ( ! ,suicide ,prev5tion ,lifel9e ,improvem5t ,act ( #bjba1 complete developm5t ( ! initial v]sion ( ! plan requir$ by p>agraph 7#a71 beg9 implem5tation ( su* plan1 & make su* plan publicly available2 & 7,b7 p]iodically !reaft]1 update su* plan & make ! updat$ plan publicly available4 4 7b7 ,transmission ( data to ,,cdc ,section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is am5d$ by ins]t+ aft] subsection 7c7 ( su* section1 z add$ by subsection 7a7 ( ?is section1 ! foll[+3 7d7 ,transmission ( data to ,,cdc ,! ,secret>y %all =malize & /r5g!n agreem5ts betwe5 ! ,national ,suicide ,prev5tion ,lifel9e program & ! ,c5t]s = ,disease ,control & ,prev5tion to transmit any necess>y epidemiological data f ! program to ! ,c5t]s = ,disease ,control & ,prev5tion1 includ+ local call c5t] data1 to assi/ ! ,c5t]s 9 suicide prev5tion ef=ts4 4 7c7 ,au?orization ( appropriations ,subsection 7e7 ( section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is am5d$ to read z foll[s3 7e7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #aac1fjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbd4 7#b7 ,allocation ,( ! am\nt au?oriz$ to be appropriat$ by p>agraph 7#a7 = ea* ( fiscal ye>s #bjbb ?r\gh #bjbd1 at lea/ #hj p]c5t %all be made available to crisis c5t]s4 4 #c4 ,pilot program on innovative te*nologies 7a7 ,pilot program 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all c>ry out a pilot program to rese>*1 analyze1 & employ v>i\s te*nologies & plat=ms ( communication 7includ+ social m$ia plat=ms1 text+ plat=ms1 & email plat=ms7 = suicide prev5tion 9 addition to ! telephone & onl9e *at s]vice provid$ by ! ,suicide ,prev5tion ,lifel9e4 7#b7 ,au?orization ( appropriations ,to c>ry out p>agraph 7#a71 !re is au?oriz$ to be appropriat$ #e1jjj1jjj = ! p]iod ( fiscal ye>s #bjbb & #bjbc4 7b7 ,report ,n lat] ?an #b ye>s aft] ! date on :i* ! pilot program "u subsection 7a7 comm5ces1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all submit to ,congress a report on ! pilot program4 ,) respect to ea* plat=m ( communication employ$ pursuant to ! pilot program1 ! report %all include-- 7#a7 a full description ( ! program2 7#b7 ! numb] ( individuals s]v$ by ! program2 7#c7 ! av]age wait "t = ea* individual to receive a response2 7#d7 ! co/ ( ! program1 includ+ ! co/ p] individual s]v$2 & 7#e7 any o!r in=mation ! ,secret>y det]m9es appropriate4 #d4 ,,hhs /udy & report ,n lat] ?an #b ye>s aft] ! ,secret>y ( ,heal? & ,human ,s]vices beg9s implem5tation ( ! plan requir$ by section #ebj;,e-#c7;c7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by section #b7;a77#b7 ( ?is ,act1 ! ,secret>y %all-- 7#a7 complete a /udy on-- 7,a7 ! implem5tation ( su* plan1 includ+ ! progress t[>ds meet+ ! objectives id5tifi$ pursuant to p>agraph 7#b77;,a77i7 ( su* section #ebj;,e-#c7;c7 by ! timeframes id5tifi$ pursuant to p>agraph 7#b77;,a77ii7 ( su* section #ebj;,e-#c7;c72 & 7,b7 9 consultation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 options to exp& data ga!r+ f calls to ! ,suicide ,prev5tion ,lifel9e 9 ord] to bett] track aspects ( usage su* z repeat calls1 consi/5t ) applicable ,f$]al & ,/ate privacy laws2 & 7#b7 submit a report to ,congress on ! results ( su* /udy1 includ+ recomm5dations on :e!r additional legislation or appropriations are ne$$4 #e4 ,,gao /udy & report 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! ,secret>y ( ,heal? & ,human ,s]vices beg9s implem5tation ( ! plan requir$ by section #ebj;,e-#c7;c7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by section #b7;a77#b7 ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all-- 7#a7 complete a /udy on ! ,suicide ,prev5tion ,lifel9e2 & 7#b7 submit a report to ,congress on ! results ( su* /udy4 7b7 ,issues ,to be /udi$ ,! /udy requir$ by subsection 7a7 %all address-- 7#a7 ! feasibility ( geolocat+ call]s to direct calls to ! ne>e/ crisis c5t]2 7#b7 op]ation %ortcom+s ( ! ,suicide ,prev5tion ,lifel9e2 7#c7 geographic cov]age ( ea* crisis call c5t]2 7#d7 ! call answ] rate ( ea* crisis call c5t]2 7#e7 ! call wait "t ( ea* crisis call c5t]2 7#f7 ! h\rs ( op]ation ( ea* crisis call c5t]2 7#g7 fund+ av5ues ( ea* crisis call c5t]2 7#h7 ! implem5tation ( ! plan "u section #ebj;,e-#c7;c7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by section #b7;a7 ( ?is ,act1 includ+ ! progress t[>ds meet+ ! objectives id5tifi$ pursuant to p>agraph 7#b77;,a77i7 ( su* section #ebj;,e-#c7;c7 by ! timeframes id5tifi$ pursuant to p>agraph 7#b77;,a77ii7 ( su* section #ebj;,e-#c7;c72 & 7#i7 s]vice to individuals reque/+ a =eign language speak]1 includ+-- 7,a7 ! numb] ( calls or *ats ! ,lifel9e receives f individuals speak+ a =eign language2 7,b7 ! capacity ( ! ,lifel9e to h&le ^! calls or *ats2 & 7,c7 ! numb] ( crisis c5t]s ) ! capacity to s]ve =eign language speak]s1 9 h\se4 7c7 ,recomm5dations ,! report requir$ by subsection 7a7 %all include recomm5dations = improv+ ! ,suicide ,prev5tion ,lifel9e1 includ+ recomm5dations = legislative & adm9i/rative actions4 #f4 ,def9ition ,9 ?is ,act1 ! t]m ,suicide ,prev5tion ,lifel9e means ! suicide prev5tion hotl9e ma9ta9$ pursuant to section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c74 #a4 ,%ort title ,?is ,act may be cit$ z ! ,suicide ,prev5tion ,lifel9e ,improvem5t ,act ( #bjba4 #b4 ,suicide ,prev5tion ,lifel9e 7a7 ,activities ,section #ebj;,e-#c7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7b77 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 by ins]t+ support+ & be=e coord9at+2 & 7,b7 by /rik+ crisis int]v5tion s]vices & ins]t+ m5tal heal? crisis int]v5tion s]vices1 includ+ appropriate foll[-up s]vices12 7#b7 9 p>agraph 7#b71 by /rik+ 2 & & ins]t+ a semicolon2 7#c7 9 p>agraph 7#c71 by /rik+ ! p]iod & ins]t+ a semicolon2 & 7#d7 by add+ at ! end ! foll[+3 7#d7 improv+ aw>5ess ( ! program = suicide prev5tion & m5tal heal? crisis int]v5tion s]vices1 includ+ by conduct+ an aw>5ess initiative & ongo+ outrea* to ! public2 & 7#e7 improv+ ! collection & analysis ( demographic in=mation1 9 a mann] t protects p]sonal privacy1 consi/5t ) applicable ,f$]al & ,/ate privacy laws1 9 ord] to und]/& disp>ities 9 access to ! program among individuals :o are seek+ help4 4 7b7 ,plan ,section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is am5d$-- 7#a7 by r$esignat+ subsection 7c7 z subsection 7e72 & 7#b7 by ins]t+ aft] subsection 7b7 ! foll[+3 7c7 ,plan 7#a7 ,9 g5]al ,= purposes ( support+ ! crisis c5t]s "u subsection 7b77#a7 & ma9ta9+ ! suicide prev5tion hotl9e "u subsection 7b77#b71 ! ,secret>y %all develop & implem5t a plan to ensure ! provision ( high-quality s]vices4 7#b7 ,cont5ts ,! plan requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,program evaluation1 includ+ p]=mance measures to assess progress t[>d ! goals & objectives ( ! program & to improve ! responsiv5ess & p]=mance ( ! hotl9e1 includ+ at backup call c5t]s4 7,b7 ,requirem5ts t crisis c5t]s & backup c5t]s mu/ meet-- 7i7 to p>ticipate 9 ! network "u subsection 7b77#a72 & 7ii7 to ensure t ea* telephone call & applicable o!r communication receiv$ by ! hotl9e1 includ+ at backup call c5t]s1 is answ]$ 9 a timely mann]1 consi/5t ) evid5ce-bas$ guidance or o!r guidance or be/ practices1 z appropriate4 7,c7 ,specific recomm5dations & /rategies = implem5t+ evid5ce-bas$ practices1 includ+ ) respect to foll[-up & communicat+ ! availability ( res\rces 9 ! community = individuals 9 ne$4 7,d7 ,crit]ia = c>ry+ out p]iodic te/+ ( ! hotl9e dur+ ea* fiscal ye>1 includ+ at crisis c5t]s & backup c5t]s1 to id5tify & address any problems 9 a timely mann]4 7#c7 ,consultation ,9 develop+ requirem5ts "u p>agraph 7#b77;,b71 ! ,secret>y %all consult ) ,/ate dep>tm5ts ( heal?1 local gov]nm5ts1 ,indian ,tribes1 & ,tribal organizations4 7#d7 ,initial plan2 updates ,! ,secret>y %all-- 7,a7 n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,suicide ,prev5tion ,lifel9e ,improvem5t ,act ( #bjba1 complete developm5t ( ! initial plan "u p>agraph 7#a7 & make su* plan publicly available2 & 7,b7 p]iodically !reaft]1 update su* plan & make ! updat$ plan publicly available4 4 7c7 ,data to assi/ ,/ate & local ag5cies ,section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is am5d$ by ins]t+ aft] subsection 7c7 ( su* section1 z add$ by subsection 7b7 ( ?is section1 ! foll[+3 7d7 ,data to assi/ ,/ate & local suicide prev5tion activities ,! ,secret>y %all ensure t ! aggregat$ in=mation collect$ & any applicable analyses conduct$ "u subsection 7b77#e71 includ+ f local call c5t]s1 z applicable1 are made available 9 a useable =mat to ,/ate & local ag5cies 9 ord] to in=m suicide prev5tion activities4 4 7d7 ,au?orization ( appropriations ,subsection 7e7 ( section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c71 z r$esignat$ by subsection 7b77#a71 is am5d$ by /rik+ #g1aih1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ su* sums z may be necess>y = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 #c4 ,,hhs report ,n lat] ?an #b ye>s aft] ! ,secret>y ( ,heal? & ,human ,s]vices submits ! plan "u subsection 7c77#a7 ( section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act1 z add$ by section #b7;b77#b7 ( ?is ,act1 ! ,secret>y %all submit a report to ,congress on ! progress made on meet+ ! objectives id5tifi$ pursuant to subsection 7c77#b77;,a77i7 ( su* section #ebj;,e-#c & recomm5dations on improv+ ! program1 includ+ improvem5ts to enhance data collection & usage4 #d4 ,,gao /udy & report 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! ,secret>y ( ,heal? & ,human ,s]vices beg9s implem5tation ( ! plan requir$ by section #ebj;,e-#c7;c77#a7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by section #b7;b77#b7 ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all complete a /udy on ! ,suicide ,prev5tion ,lifel9e & submit a report to ,congress on ! results ( su* /udy4 7b7 ,cont5t ,! /udy requir$ by subsection 7a7 %all include :at is kn[n ab\t-- 7#a7 ! feasibility ( r\t+ calls to ! ,suicide ,prev5tion ,lifel9e to ! ne>e/ appropriate crisis c5t] bas$ on ! physical location ( ! contact2 7#b7 capacity ( ! ,suicide ,prev5tion ,lifel9e2 7#c7 ,/ate & regional v>iation ) respect to access to crisis call c5t]s describ$ 9 section #ebj;,e-#c7;b77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7b77#a771 includ+ wait times1 answ] times1 h\rs ( op]ation1 & fund+ s\rces2 7#d7 ! implem5tation ( ! plan "u section #ebj;,e-#c7;c7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by section #b7;b77#b7 ( ?is ,act1 includ+ ! progress t[>d meet+ ! objectives 9 su* plan2 & 7#e7 capacity ( ! ,suicide ,prev5tion ,lifel9e to h&le calls f individuals ) limit$ ,engli% pr(ici5cy4 #e4 ,def9ition ,9 ?is ,act1 ! t]m ,suicide ,prev5tion ,lifel9e means ! suicide prev5tion hotl9e ma9ta9$ pursuant to section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c74 ,septemb] #ba1 #bjba,report$ ) an am5dm5t