,,ii #aahth ,,congress #b;d ,session ,s4 #cgfa ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,february #g1 #bjbd,mrs4 ,gillibrand introduced the following bill2 which was read twice and referred to the ,committee on ,agriculture1 ,nutrition1 and ,forestry ,a ,,bill ,to amend the ,food1 ,conservation1 and ,energy ,act of #bjjh to reauthorize the ,farm and ,ranch ,stress ,assistance ,network and establish a national agricultural crisis hotline1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,national ,agricultural ,crisis ,hotline ,act of #bjbd4 #b4 ,findings ,congress finds that-- 7#a7 the suicide rate for farmers is #c4e times higher than the suicide rate of the general population2 7#b7 male farmers and ranchers have significantly higher rates of suicide 7#dc4b per #ajj1jjj7 compared to the average rate of suicide across other professions 7#bg4d per #ajj1jjj72 7#c7 the percentage of adults ages #bf and older that live in completely rural areas has increased between #bjai and #bjbj1 making completely rural areas the most afflicted county types with respect to alcohol abuse2 and 7#d7 evidence suggests that the stigma surrounding mental health in farming and ranching communities has decreased but still plays a significant role in influencing behavior4 #c4 ,farm and ,ranch ,stress ,assistance ,network ,section #gebb of the ,food1 ,conservation1 and ,energy ,act of #bjjh 7#g ,u4,s4,c4 #eicf7 is amended-- 7#a7 in subsection 7b77#a7-- 7,a7 by redesignating subparagraphs 7,c7 and 7,d7 as subparagraphs 7,d7 and 7,e71 respectively2 and 7,b7 by inserting after subparagraph 7,b7 the following3 7,c7 mental health training for agriculture professionals 7including farm loan officers1 extension agents1 and ,state department of agriculture staff72 2 7#b7 by redesignating subsections 7d7 through 7f7 as subsections 7e7 through 7g71 respectively2 7#c7 by inserting after subsection 7c7 the following3 7d7 ,national agricultural crisis hotline 7#a7 ,in general ,as part of the ,farm and ,ranch ,stress ,assistance ,network established under subsection 7a71 the ,secretary shall establish1 and maintain directly or by grant or contract1 a national agricultural crisis hotline 7referred to in this subsection as the national agricultural crisis hotline7 to provide emotional support1 information1 suicide crisis intervention1 mental health and substance use disorder1 and agricultural support resources to-- 7,a7 farmers1 farm managers1 farm workers1 and ranchers affected by mental health and substance use disorders2 and 7,b7 families or household members of those farmers1 farm managers1 farm workers1 and ranchers4 7#b7 ,requirements ,the national agricultural crisis hotline shall-- 7,a7 provide #bd_/g real-time live assistance by voice and through a mobile texting application2 7,b7 be staffed #bd_/g in accordance with paragraph 7#d72 7,c7 provide referral services to meet the needs of family and household members of farmers1 ranchers1 and related professionals2 7,d7 offer #bd-;hour follow-up calls to callers2 7,e7 provide standardized translation services that meet the needs of the agricultural population2 and 7,f7 comply with all ,federal1 ,state1 and local laws1 including the ,health ,insurance ,portability and ,accountability ,act of #aiif 7,public ,law #ajd-aia2 #aaj ,stat4 #aicf74 7#c7 ,data collection ,the national agricultural crisis hotline shall collect the following data3 7,a7 ,call data1 including total calls1 calls queued1 calls answered1 calls dropped1 and average speed of answer4 7,b7 ,rescue data1 including next steps suggested and information provided to the caller4 7,c7 ,follow-up calls4 7,d7 ,caller information1 including-- 7i7 whether the caller is calling for the first time or is a repeat caller2 7ii7 the living situation of the caller2 and 7iii7 demographic information of the caller4 7,e7 ,reason for call and caller needs and concerns4 7,f7 ,referrals provided1 including resources provided and strategies employed with respect to addressing the needs and concerns of callers4 7#d7 ,staffing ,call responders and supervisors of call responders operating the national agricultural crisis hotline shall-- 7,a7 be crisis intervention specialists1 licensed health care professionals1 or licensed mental health professionals who-- 7i7 are trained in providing culturally and linguistically appropriate support2 7ii7 have awareness training with respect to farm stress and the farming identity2 and 7iii7 have credentials that enable them to provide evidence-based suicide intervention hotline care1 including accreditation from the ,american ,association of ,suicidology and the ,alliance of ,information and ,referral ,systems2 and 7,b7 meet training requirements developed by the ,secretary or the entity maintaining the hotline1 as applicable1 which1 at a minimum1 shall include-- 7i7 at least #hj hours of interactive training and content1 which shall include-- 7,i7 elements of applied suicide intervention skills training2 7,,ii7 information and training on providing trauma informed support2 and 7,,iii7 training and content on other relevant clinical topics2 7ii7 foundational agriculture mental stress training that includes metrics that demonstrate competency2 7iii7 a minimum of #bd hours of direct supervised shifts before answering calls independently2 and 7iv7 ongoing training on specialized topics on at least a quarterly basis4 7#e7 ,partnerships 7,a7 ,existing hotlines ,the ,secretary or an entity receiving a grant or contract under paragraph 7#a71 as applicable1 shall form partnerships between the national agricultural crisis hotline and existing farm telephone helplines and websites4 7,b7 ,,usda and other ,federal programs ,the ,secretary shall coordinate with-- 7i7 the ,federal ,office of ,rural ,health ,policy and offices of the ,department of ,agriculture that administer financial assistance programs to farmers and ranchers to provide information about the national agricultural crisis hotline to participants of those programs2 and 7ii7 the ,substance ,abuse and ,mental ,health ,services ,administration to refer agriculture related calls received through the #ihh ,suicide and ,crisis ,lifeline to the national agricultural crisis hotline4 7#f7 ,directory ,the ,secretary or an entity receiving a grant or contract under paragraph 7#a71 as applicable1 shall develop1 and periodically update1 a directory of organizations to which staff of the national agricultural crisis hotline can make referrals4 7#g7 ,outreach ,the ,secretary shall1 in consultation with the ,department of ,health and ,human ,services1 the ,substance ,abuse and ,mental ,health ,services ,administration1 any other relevant ,federal agencies1 and ,state departments of health and agriculture1 conduct a public awareness campaign for the national agricultural crisis hotline4 7#h7 ,report ,the ,secretary shall submit to ,congress and make publicly available an annual report on the effectiveness of the national agricultural crisis hotline4 2 and 7#d7 in subsection 7e7 7as so redesignated71 by striking #aj1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #ai1jjj1jjj for each of fiscal years #bjbd through #bjbh1 of which #d1jjj1jjj each fiscal year shall be used to carry out subsection 7d74