,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #hihi  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #ba1 #bjbf,ms4   
,pett]s5 7= h]self & ,mr4 ,yakym7       
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act to direct ! ,secret>y (    
,heal? & ,human ,s]vices to c>ry out    
demon/ration programs to develop1       
implem5t1 & evaluate evid5ce-bas$       
/rategies to prev5t suicide among *ildr5
 & adolesc5ts1 & = o!r purposes4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,evid5ce-,bas$ ,y\? ,suicide ,prev5tion 
,act ( #bjbf4  #b4 ,f9d+s ,congress f9ds
 t--  7#a7 suicide is ! second-lead+    
cause ( dea? among *ildr5 & adolesc5ts1 
& s*ools are (t5 ! fir/ place w>n+ signs
 em]ge2  7#b7 9 #bjbc1 ! ,c5t]s =       
,disease ,control & ,prev5tion f\nd t1 (
 ! high s*ool /ud5ts nationwide--  7,a7 
#dj p]c5t _h report$ p]si/5t feel+s (   
sadness or hopelessness2  7,b7 #ah p]c5t
 _h exp]i5c$ major depression2 &  7,c7  

#aj p]c5t _h attempt$ suicide2 &  7#c7  
s*ool di/ricts face an urg5t ne$ to     
actively manage m5tal heal? crises1 yet 
communities /ill lack access to cle>1   
comp>able evid5ce on :i* approa*es are  
prov5 to r$uce suicide attempts & dea?s 
:5 implem5t$ at scale4  #c4 ,y\? suicide
 prev5tion program ,title ,v ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bij;aa et seq47 is am5d$ by ins]t+ aft]
 section #ebj;,c 7#db ,u4,s4,c4         
#bij;bb-#cd7 ! foll[+ new section3      
#ebj;,d4 ,y\? suicide prev5tion program 
7a7 ,9 g5]al ,! ,secret>y %all1 directly
 or ?r\gh grants1 contracts1 or         
coop]ative agreem5ts ) eligible         
entities1 c>ry out demon/ration programs
 to develop1 implem5t1 & evaluate       
evid5ce-bas$ /rategies to prev5t suicide
 among *ildr5 & adolesc5ts4  7b7 ,sett+s
 ,a demon/ration program c>ri$ out "u   
?is section %all-- 7#a7 prioritize      
implem5tation 9 s*ools1 o!r educational 
in/itutions1 & o!r *ild- & y\?-support  
sett+s2 &  7#b7 require coord9ation )   

,/ate1 ,tribal1 & local educational     
ag5cies & public heal? organizations4   
7c7 ,eligible entity ,9 ?is section1 !  
t]m eligible entity means--  7#a7 a     
,/ate2  7#b7 a ,/ate educational ag5cy  
or local educational ag5cy 7z su* t]ms  
are def9$ 9 section #haja ( ! ,elem5t>y 
& ,second>y ,education ,act ( #aife72   
7#c7 a public organization or private   
nonpr(it organization designat$ by a    
,/ate or ,indian ,tribe 7z def9$ 9      
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act72 or  7#d7 an in/itution
 ( high] education 7z def9$ 9 section   
#ajaj ( ! ,high] ,education ,act (      
#aife74  7d7 ,activities ,activities "u 
?is section may include-- 7#a7 pilot+1  
implem5t+1 & scal+ ( evid5ce-bas$       
suicide prev5tion programs 9 elem5t>y & 
second>y s*ools2  7#b7 evaluation (     
exi/+ suicide prev5tion protocols1      
practices1 & /rategies us$ by s*ools1   
heal? sy/ems1 & community-bas$          
organizations1 includ+ assessm5ts (     

effectiv5ess1 implem5tation1 & outcomes2
 &  7#c7 su* o!r activities z !         
,secret>y det]m9es appropriate to /udy !
 prev5tion ( suicide among *ildr5 &     
adolesc5ts4  7e7 ,te*nical assi/ance ,! 
,secret>y %all provide te*nical         
assi/ance to recipi5ts ( assi/ance "u   
?is section1 includ+ assi/ance relat$ to
 outcome id5tification1 data collection1
 evaluation design1 & report+4  7f7     
,evid5ce-,bas$ programs  7#a7 ,9 g5]al  
,9 ?is section1 ! t]m evid5ce-bas$      
means1 :5 us$ ) respect to a program1 an
 int]v5tion--  7,a7 t-- 7i7 demon/rates 
a /ati/ically significant & su/a9$      
positive impact on relevant outcomes 9 a
 real-_w or community sett+1 bas$ on !  
totality ( available evid5ce2 or  7ii7  
describes h[ an int]v5tion is implem5t$ 
9 practice & in=ms its replication or   
scal+2 &  7,b7 is support$ by /rong     
evid5ce1 mod]ate evid5ce1 or promis+    
evid5ce4  7#b7  ,/rong evid5ce  ,9      
p>agraph 7#a71 ! t]m /rong evid5ce means
 an int]v5tion t--  7,a7 meets ! crit]ia

 describ$ 9 p>agraph 7#a77;,a7 ?r\gh n  
few] ?an--  7i7 #b well-design$ &       
well-implem5t$ exp]im5tal /udies2  7ii7 
#a l>ge1 multi-site r&omiz$ controll$   
trial2 or  7iii7 at ! discretion ( !    
,secret>y1 #a or m quasi-exp]im5tal     
/udies t meet rigor\s /&>ds = causal    
inf]5ce & are widely accept$ 9          
pe]-review$ lit]ature2 &  7,b7 has      
demon/rat$ effectiv5ess 9 a population  
or sett+ simil> to ! population or sett+
 9 :i* ! int]v5tion is propos$ to be    
implem5t$4  7#c7  ,mod]ate evid5ce  ,9  
p>agraph 7#a71 ! t]m mod]ate evid5ce    
means an int]v5tion t--  7,a7 meets !   
crit]ia describ$ 9 p>agraph 7#a77;,a7   
?r\gh--  7i7 n few] ?an #a well-design$ 
& well-implem5t$ exp]im5tal /udy2 or    
7ii7 #a quasi-exp]im5tal /udy capable ( 
e/abli%+ a causal relation%ip betwe5 !  
int]v5tion & ! relevant outcomes2 &     
7,b7 has demon/rat$ effectiv5ess 9 a    
population or sett+ simil> to !         
population or sett+ 9 :i* ! int]v5tion  
is propos$ to be implem5t$1 to ! ext5t  

practicable4  7#d7  ,promis+ evid5ce  ,9
 p>agraph 7#a71 ! t]m promis+ evid5ce   
means an int]v5tion t--  7,a7 is in=m$  
by relevant !ory1 prior rese>*1 or      
evid5ce-in=m$ practice2 &  7,b7 is      
accompani$ by a plan = rigor\s          
evaluation to det]m9e ! effectiv5ess ( !
 int]v5tion4  7#e7  ,int]pretation  ,=  
purposes ( ?is section1 ! t]m           
evid5ce-bas$ %all be int]pret$ by !     
,secret>y1 to ! ext5t feasible1 to      
pursue alignm5t ) simil> def9itions ( ! 
t]m evid5ce-bas$ issu$ by ! ,dep>tm5t ( 
,heal? & ,human ,s]vices & o!r ,f$]al   
def9itions gov]n+ m5tal heal? programs4 
7g7 ,prioritization ( evid5ce ,!        
,secret>y %all-- 7#a7 allocate fund+    
made available "u ?is section bas$ on ! 
/r5g? ( evid5ce support+ a propos$      
int]v5tion1 consi/5t ) ! def9ition ( !  
t]m evid5ce-bas$ 9 subsection 7f72 &    
7#b7 prioritize su* fund+ = int]v5tions 
support$ by high] levels ( evid5ce1 :ile
 also res]v+ a portion ( funds to       
support promis+ & innovative approa*es t

 are accompani$ by rigor\s evaluation   
plans4  7h7 ,id5tify+ & monitor+        
outcomes ,9 c>ry+ out ?is section1 !    
,secret>y %all id5tify & monitor outcome
 measures t reflect bo? m5tal heal?     
outcomes & broad] /ud5t success1        
includ+--  7#a7 /ud5t m5tal heal? &     
safety outcomes1 su* z suicide attempts1
 suicidal ideation1 crisis int]v5tions1 
& help-seek+ behaviors2  7#b7 academic  
outcomes1 includ+ grades & academic     
a*ievem5t2  7#c7 social-emotional le>n+ 
indicators1 su* z /ud5t well-be+1       
resili5ce1 & s*ool connect$ness2  7#d7  
/ud5t engagem5t indicators1 includ+     
att5dance & enrollm5t2  7#e7 access &   
rea* metrics1 includ+ ! numb] &         
*>act]i/ics ( /ud5ts s]v$2 &  7#f7      
implem5tation metrics1 includ+ /aff     
p>ticipation & tra9+ completion4  7i7   
,community engagem5t ,9 c>ry+ out ?is   
section1 ! ,secret>y %all meet community
 engagem5t requirem5ts1 includ+ 9 any   
notice ( fund+ opportunity issu$        
pursuant to ?is section1 9 accordance ) 

section #bjj4bjb ( title #b1 ,code (    
,f$]al ,regulations 7or any successor   
regulation71 to ensure t demon/ration   
programs "u ?is section are develop$ 9  
consultation ) ! communities b5efitt+ f 
or impact$ by ! programs4  7j7 ,f$]al   
program evaluation /&>ds ,! ,secret>y   
%all ensure t evaluations ( ! program   
c>ri$ out "u ?is section are conduct$ 9 
accordance ) ! ,f$]al program evaluation
 /&>ds set =? by ! ,(fice ( ,managem5t &
 ,budget 9 ,,omb ,memor&um ,m-#bj-ab1   
dat$ ,m>* #aj1 #bjbj 7or any successor  
/&>ds74  7k7 ,reports to ,congress ,n   
lat] ?an #ij days aft] ! date ( enactm5t
 ( ?is section1 & annually !reaft] dur+ 
! t]m ( ! program1 ! ,secret>y %all     
submit to ,congress a report on !       
results ( ! activities c>ri$ out "u ?is 
section1 includ+ a summ>y ( evaluation  
f9d+s1 implem5tation lessons1 &         
implications = future ,f$]al inve/m5ts 9
 s*ool-bas$ y\? suicide prev5tion4  7l7 
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  

?is section su* sums z may be necess>y =
 ea* ( ! fiscal ye>s #bjbg ?r\gh #bjcb4 
4