,,ii #aahth ,,congress #b;d ,session ,s4 #cggi ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,february #h 7legislative day1 ,february #g71 #bjbd,mr4 ,schatz 7for himself1 ,mr4 ,blumenthal1 ,mr4 ,kaine1 ,mr4 ,brown1 ,mr4 ,booker1 ,mr4 ,van ,hollen1 ,ms4 ,klobuchar1 and ,mr4 ,wyden7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to authorize the ,secretary of ,health and ,human ,services to award grants to establish or expand programs to implement evidence-aligned practices in health care settings for the purpose of reducing the suicide rates of covered individuals1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,child ,suicide ,prevention and ,lethal ,means ,safety ,act4 #b4 ,grant program to address youth suicide and lethal means 7a7 ,in general ,beginning not later than #a year after the date of enactment of this ,act1 the ,secretary shall award grants to eligible entities to establish or expand programs to implement evidence-aligned practices in health care settings for the purpose of reducing the suicide rates of covered individuals4 7b7 ,application ,an eligible entity seeking a grant under this section shall submit an application to the ,secretary at such time1 in such manner1 and accompanied by such information as the ,secretary may require4 7c7 ,eligible entity ,in this section1 the term eligible entity includes-- 7#a7 a ,state2 7#b7 a ,state or local health department2 7#c7 a professional membership organization that specializes in health care2 7#d7 a hospital that serves covered individuals2 7#e7 a nonprofit organization2 or 7#f7 an institution of higher education4 7d7 ,use of funds ,an eligible entity that receives a grant under this section shall use the grant funds to establish or expand programs to educate or train health care providers as described in subsection 7a71 including education and training on-- 7#a7 identification of covered individuals who may be at a high risk of suicide or self-harm using validated1 developmentally- and age-appropriate1 and evidence-aligned screening and risk assessment techniques2 7#b7 communication with covered individuals and the family members or guardians of such individuals on lethal means safety and injury prevention1 including the safe storage of firearms2 7#c7 covered risk factors and the relationship of such factors to suicide and self-harm2 7#d7 suicide prevention and intervention2 7#e7 support strategies for covered individuals after the occurrence of a suicide or suicide attempt2 7#f7 racial and ethnic disparities with respect to covered individuals who attempt suicide or self-harm1 disaggregated by the age and gender of covered individuals2 7#g7 methods and means used by covered individuals to attempt suicide and1 with respect to such methods and means1 best practices to ensure the safety of a covered individual1 including safety plans and plans that address such methods and means2 7#h7 ,state and ,federal laws with respect to the use and possession of firearms2 7#i7 communication strategies to discuss such laws with covered individuals and the family members or guardians of such individuals2 and 7#aj7 procedures for referring covered individuals who may be at a high risk of suicide or self-harm to other health care providers1 social services1 or crisis resources4 7e7 ,secure gun storage or safety devices 7#a7 ,in general ,an entity receiving a grant under this section may use not more than #ae percent of the funds received through the grant to make secure gun storage or safety devices available at reduced or no cost to residences with at least one covered individual4 7#b7 ,application ,if an applicant for a grant under this section seeks to use the grant as described in paragraph 7#a71 the applicant shall include in its application under subsection 7b7-- 7,a7 a strategy to make secure gun storage or safety devices available at reduced or no cost to residences with at least one covered individual2 and 7,b7 information about the types of devices that will be so made available based on a demonstration of available information about the secure gun storage or safety device needs of the community or communities in which such residences are located4 7#c7 ,counseling ,a recipient of a grant under this section that chooses to use a portion of the grant as described in paragraph 7#a7 shall provide appropriate counseling on the use of secure gun storage or safety devices to one or more individuals at each residence that receives such a device through funds made available through such grant4 7f7 ,technical assistance ,the ,secretary shall provide technical assistance to recipients of grants under this section and health care providers on best practices in implementing programs to educate or train health care providers on evidence-aligned practices for the purpose of reducing the suicide rates of covered individuals4 7g7 ,report 7#a7 ,by grantees 7,a7 ,submission ,each eligible entity that receives a grant under this section shall submit1 on an annual basis through fiscal year #bjbg1 a report to the ,secretary on the activities carried out through the grant4 7,b7 ,public availability ,the ,secretary shall make each report submitted under subparagraph 7,a7 publicly available on the website of the ,department of ,health and ,human ,services4 7#b7 ,by ,secretary ,not later than the end of fiscal year #bjbg1 the ,secretary shall submit a report to ,congress that includes-- 7,a7 a summary of the reports submitted to the ,secretary pursuant to paragraph 7#a72 and 7,b7 recommendations with respect to the implementation of evidence-aligned practices in health care settings to reduce the suicide rates of covered individuals4 7h7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #bj1jjj1jjj for the period of fiscal years #bjbd through #bjbg4 #c4 ,grant program to develop and integrate suicide prevention and lethal means safety curricula 7a7 ,in general ,beginning not later than #a year after the date of enactment of this ,act1 the ,secretary shall award grants to eligible schools to develop and integrate in the curricula and continuing education programs of such schools the content described in subsection 7d74 7b7 ,application ,an eligible school seeking a grant under this section shall submit an application to the ,secretary at such time1 in such manner1 and accompanied by such information as the ,secretary may require4 7c7 ,partnership ,in carrying out activities through a grant under this section1 an eligible school may develop a partnership with-- 7#a7 a local health department2 7#b7 such professional associations as the ,secretary determines are appropriate2 7#c7 a nonprofit organization2 and 7#d7 an institution of higher education4 7d7 ,curricula content ,the content to be developed and integrated pursuant to subsection 7a7 shall address each of the following3 7#a7 ,lethal means safety and injury prevention1 including-- 7,a7 safe storage of a firearm and ammunition2 and 7,b7 ,state and ,federal laws that apply to the use and possession of a firearm4 7#b7 ,best practices that are evidence-aligned and culturally appropriate with respect to communicating with patients and the families of patients about lethal means safety and injury prevention4 7#c7 ,evidence-aligned strategies with respect to suicide prevention1 intervention1 and support to individuals after the occurrence of a suicide or suicide attempt1 with an emphasis on-- 7,a7 covered individuals2 and 7,b7 individuals at a high risk of suicide4 7#d7 ,validated1 developmentally and age-appropriate1 and evidence-aligned screening and risk assessment techniques with respect to suicide and the use of a firearm4 7#e7 ,strategies to identify covered risk factors4 7#f7 ,methods or means used by a covered individual to attempt suicide and1 with respect to such methods or means1 best practices to ensure the safety of a covered individual1 including safety plans and plans that address such methods and means4 7e7 ,technical assistance ,the ,secretary shall provide-- 7#a7 to eligible schools1 technical assistance in applying for a grant under this section2 and 7#b7 to eligible schools receiving grants under this section1 technical assistance in carrying out the activities funded through the grants4 7f7 ,report 7#a7 ,by grantees 7,a7 ,submission ,each eligible school that receives a grant under this section shall submit1 on an annual basis through fiscal year #bjbg1 a report to the ,secretary on the activities carried out through the grant4 7,b7 ,public availability ,the ,secretary shall make each report submitted under subparagraph 7,a7 publicly available on the website of the ,department of ,health and ,human ,services4 7#b7 ,by ,secretary ,not later than the end of fiscal year #bjbg1 the ,secretary shall submit a report to ,congress that includes-- 7,a7 a summary of the reports submitted to the ,secretary pursuant to paragraph 7#a72 and 7,b7 recommendations for curricula on suicide prevention4 7g7 ,eligible school defined ,in this section1 the term eligible school means-- 7#a7 an accredited medical school2 7#b7 an accredited school of nursing2 7#c7 an accredited school with a-- 7,a7 physician assistant education program2 7,b7 graduate or undergraduate program in mental or behavioral health2 or 7,c7 residency or fellowship program in health care2 and 7#d7 any other accredited school that specializes in health education1 as determined by the ,secretary1 including for continuing education programs4 7h7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #aj1jjj1jjj for the period of fiscal years #bjbd through #bjbg4 #d4 ,informational website 7a7 ,development ,not later than #a year after the date of enactment of this ,act1 the ,secretary shall develop and maintain a website to inform covered individuals1 the family members or guardians of such individuals1 schools that educate health care providers1 and health care providers on best practices with respect to suicide prevention and the use of firearms in suicide attempts by covered individuals4 7b7 ,update ,the ,secretary shall update the information on the website developed under subsection 7a7 based on the reports submitted pursuant to sections 7#b77;g7 and 7#c77;f74 7c7 ,consultation ,in developing the website under subsection 7a71 the ,secretary shall consult with-- 7#a7 the individuals and entities referred to in such subsection2 7#b7 nonprofit organizations2 7#c7 such professional associations as the ,secretary determines are appropriate2 7#d7 local health departments2 7#e7 hospitals that serve covered individuals2 7#f7 institutions of higher education2 7#g7 the ,department of ,veterans ,affairs2 7#h7 ,federal firearms license dealers and instructors2 and 7#i7 other individuals or entities1 as determined by the ,secretary4 #e4 ,definitions ,in this ,act3 7#a7 ,covered individual ,the term covered individual means an individual who has not attained #bf years of age4 7#b7 ,covered risk factors ,the term covered risk factors means factors that increase the risk of suicide or self-harm with respect to a covered individual1 including the following3 7,a7 ,alcohol abuse or other substance use disorder4 7,b7 ,sexual or physical abuse4 7,c7 ,a diagnosis of a psychiatric condition associated with an increased risk of suicide or self-harm4 7,d7 ,being lesbian1 gay1 bisexual1 transgender1 or queer4 7,e7 ,being from a racial or ethnic group with a high rate of suicide or self-harm4 7,f7 ,previous attempts of suicide or self-harm4 7,g7 ,other factors supported by scientific evidence to be linked to an increased risk of suicide or self-harm1 including family factors and bullying4 7#c7 ,institution of higher education ,the term institution of higher education has the meaning given such term in section #aja of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajja74 7#d7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7#e7 ,secure gun storage or safety device ,the term secure storage or safety device has the meaning given to such term in subparagraphs 7,a7 and 7,b7 of section #iba7;a77#cd7 of title #ah1 ,united ,states ,code4 7#f7 ,state ,the term ,state means-- 7,a7 each of the #ej ,states2 7,b7 the ,district of ,columbia and any territory or possession of the ,united ,states2 7,c7 ,indian tribes and tribal organizations 7as such terms are defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd772 7,d7 ,urban ,indian organizations 7as such term is defined in section #d of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afjc772 and 7,e7 ,native ,hawaiian organizations and ,native ,hawaiian health care systems 7as such terms are defined in section #ab of the ,native ,hawaiian ,health ,care ,improvement ,act 7#db ,u4,s4,c4 #aagaa774