,,ii  #aaith ,,congress  #b;d ,session  
,s4 #dfdj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #ba1      
#bjbf,mr4 ,padilla 7for himself1 ,mr4   
,tillis1 ,ms4 ,klobuchar1 ,mr4 ,king1   
,mrs4 ,shaheen1 and ,mr4 ,blumenthal7   
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,a ,,bill  ,to   
amend the ,public ,health ,service ,act 
to award grants to eligible crisis      
centers to provide follow-up services to
 individuals receiving suicide          
prevention and crisis intervention      
services1 to amend the ,communications  
,act of #aicd to improve the            
accessibility of #i-h-h1 and for other  
purposes4  #a4 ,short title ,this ,act  
may be cited as the #i-h-h ,connect     
,act4  #b4 ,grants for follow-up        
services to individuals receiving       
suicide prevention and crisis           
intervention services ,title ,v of the  
,public ,health ,service ,act is amended

 by inserting after section #ebj;,e-#d  
7#db ,u4,s4,c4 #bij;bb-#cf;d7 the       
following3  #ebj;,e-#e4 ,follow-up      
services to individuals receiving       
suicide prevention and crisis           
intervention services  7a7 ,in general  
,the ,secretary1 acting through the     
,assistant ,secretary1 shall award      
grants to eligible crisis centers to    
provide follow-up services to           
individuals receiving suicide prevention
 and crisis intervention services4  7b7 
,eligibility ,to be eligible to seek a  
grant under this section1 a crisis      
center shall be a member of the network 
of crisis centers coordinated under     
section #ebj;,e-#c7;b77#a74  7c7        
,selection ,the ,secretary shall select 
recipients of grants under this section 
based on the relative needs1 including  
capacity and service gaps1 of the       
eligible crisis centers applying for    
such grants4  7d7 ,technical assistance 
,the ,secretary shall provide technical 
assistance to recipients of grants under

 this section regarding best practices  
for the implementation of services      
through such grants4  7e7 ,use of funds 
7#a7 ,in general ,a crisis center       
receiving a grant under this section    
shall use the grant to provide follow-up
 services to individuals who directly   
contact the #i-h-h ,suicide and ,crisis 
,lifeline 7including by call1 text1 or  
chat7 and who are identified by the     
crisis center as being at risk of       
suicide or experiencing a mental health 
or substance use crisis4  7#b7          
,follow-up services ,follow-up services 
referred to in paragraph 7#a7-- 7,a7 may
 include-- 7i7 check-ins to assess      
well-being and level of risk2  7ii7     
outreach to ensure engagement in        
services and supports1 in coordination  
with mobile crisis service providers if 
involved2  7iii7 collaboration with     
family1 caregivers1 and natural social  
supports2 and  7iv7 referrals based on  
the needed level of care2 and  7,b7     
shall be provided only to individuals   

described in paragraph 7#a71 consistent 
with subsection 7f74  7f7 ,informed     
consent and privacy protections  7#a7   
,in general ,a crisis center receiving a
 grant under this section may provide   
follow-up services to an individual only
 after obtaining the informed consent of
 such individual4  7#b7 ,elements of    
consent ,in obtaining informed consent  
under paragraph 7#a71 the crisis center 
shall clearly and conspicuously         
disclose-- 7,a7 the nature1 scope1 and  
purpose of follow-up services2  7,b7 the
 types of communications that may be    
used2  7,c7 the duration and frequency  
of such follow-up2 and  7,d7 the        
individual's right to decline or        
withdraw consent at any time without    
affecting access to crisis services4    
7#c7 ,limitation ,follow-up services    
under this section may not include the  
sharing of personally identifiable      
information with third parties without  
the express1 written1 and revocable     
consent of the individual1 except as    

otherwise required by ,federal or ,state
 law4  7#d7 ,no unintended interventions
 ,a crisis center shall ensure that     
follow-up services are conducted in a   
manner that does not result in          
involuntary or coercive interventions   
absent imminent risk4  7#e7 ,guidance   
,not later than #a year after the date  
of enactment of this section1 the       
,secretary1 acting through the          
,assistant ,secretary for ,mental       
,health and ,substance ,use1 shall      
develop and disseminate model national  
standards for informed consent and      
privacy protections specific to         
follow-up services under this section1  
consistent with applicable ,federal and 
,state privacy laws1 including the      
,health ,insurance ,portability and     
,accountability ,act of #aiif4  7g7     
,authorization of appropriations ,to    
carry out this section1 there is        
authorized to be appropriated           
#cj1jjj1jjj for fiscal year #bjbf1 to   
remain available until expended4  4  #c4

 #i-h-h ,improvement  7a7 ,definitions  
,in this section3 7#a7 #i-h-h ,the term 
#i-h-h means #i-h-h1 as designated as   
the universal telephone number within   
the ,united ,states for the purpose of  
the national suicide prevention and     
mental health crisis hotline system     
under section #bea7;e77#d7 of the       
,communications ,act of #aicd 7#dg      
,u4,s4,c4 #bea7;e77#d774  7#b7          
,commercial mobile service ,the term    
commercial mobile service has the       
meaning given the term in section       
#ccb7;d7 of the ,communications ,act of 
#aicd 7#dg ,u4,s4,c4 #ccb7;d774  7#c7   
,non-service-initialized handset ,the   
term non-service-initialized handset has
 the meaning given the term in section  
#i4aj7o77#c77;i7 of title #dg1 ,code of 
,federal ,regulations1 or any successor 
regulation4  7b7 ,transmission of all   
calls and texts  7#a7 ,in general ,not  
later than #bgj days after the date of  
enactment of this ,act1 the ,federal    
,communications ,commission shall       

promulgate regulations to ensure that   
each provider of commercial mobile      
service transmits all calls and text    
messages made or sent to #i-h-h1        
including a call or text message that   
originates from a                       
non-service-initialized handset 7if the 
call or text message originates on a    
phone using a compliant radio frequency 
protocol of the provider74  7#b7        
,implementation ,a provider of          
commercial mobile service shall comply  
with the regulations promulgated under  
paragraph 7#a7 not later than #a year   
after the date on which the regulations 
are promulgated4  7c7 ,configuration of 
multi-,line telephone systems for direct
 dialing  7#a7 ,in general ,section #gba
 of the ,communications ,act of #aicd   
7#dg ,u4,s4,c4 #fbc7 is amended-- 7,a7  
in the section heading1 by inserting and
 #i-h-h after #i-a-a2  7,b7 in          
subsection 7a71 by inserting or #i-h-h  
after #i-a-a2 and  7,c7 in subsection   
7b71 by inserting or #i-h-h after       

#i-a-a4  7#b7 ,applicability  7,a7 ,in  
general ,the amendments made by         
paragraph 7#a7 shall apply to actions   
occurring on and after the date that is 
#b years after the date of enactment of 
this ,act4  7,b7 ,exception ,the        
amendment made by paragraph 7#a77;,c7   
shall not apply to the management or    
operation of a multi-line telephone     
system installed before the date that is
 #b years after the date of enactment of
 this ,act1 if the system is not able to
 be configured to satisfy the           
requirements of the amendment1 without  
an improvement to the hardware or       
software of the system4