IIB 

116TH CONGRESS 

2D SESSION H. R. 7293 

IN THE SENATE OF THE UNITED STATES 

SEPTEMBER 30 (legislative day, SEPTEMBER 29), 2020 

Received; read twice and referred to the Committee on Health, Education, 

Labor, and Pensions 

AN ACT 

To amend the Public Health Service Act to provide best 

practices on student suicide awareness and prevention 

training and condition State educational agencies, local 

educational agencies, and tribal educational agencies receiving funds under section 520A of such Act to establish 

and implement a school-based student suicide awareness 

and prevention training policy. 


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HR 7293 RFS

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Suicide Training and 

5 Awareness Nationally Delivered for Universal Prevention 

6 Act of 2020’’ or the ‘‘STANDUP Act of 2020’’. 

7 SEC. 2. STUDENT SUICIDE AWARENESS AND PREVENTION 

8 TRAINING. 

9 (a) IN GENERAL.—Title V of the Public Health Serv10 ice Act is amended by inserting after section 520A of such 

11 Act (42 U.S.C. 290bb–32) the following: 

12 ‘‘SEC. 520B. STUDENT SUICIDE AWARENESS AND PREVEN13 TION TRAINING POLICIES. 

14 ‘‘(a) IN GENERAL.—As a condition on receipt of 

15 funds under section 520A, each State educational agency, 

16 local educational agency, and Tribal educational agency 

17 that receives such funds, directly or through a State or 

18 Indian Tribe, for activities to be performed within sec19 ondary schools, including the Project AWARE State Edu20 cation Agency Grant Program, shall— 

21 ‘‘(1) establish and implement a school-based 

22 student suicide awareness and prevention training 

23 policy; 

24 ‘‘(2) consult with stakeholders (including prin25 cipals, teachers, parents, local Tribal officials, and 


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1 other school leaders) in the development of the pol2 icy under subsection (a)(1); and 

3 ‘‘(3) collect and report information in accord4 ance with subsection (c). 

5 ‘‘(b) SCHOOL-BASED STUDENT SUICIDE AWARENESS

6 AND PREVENTION TRAINING POLICY.—A school-based 

7 student suicide awareness and prevention training policy 

8 implemented pursuant to subsection (a)— 

9 ‘‘(1) shall be evidence-based; 

10 ‘‘(2) shall be culturally and linguistically appro11 priate; 

12 ‘‘(3) shall provide evidence-based training to 

13 students in grades 6 through 12, in coordination 

14 with school-based mental health service providers as 

15 defined in section 4102(6) of the Elementary and 

16 Secondary Education Act of 1965, if applicable, re17 garding— 

18 ‘‘(A) suicide education and awareness, in19 cluding warning signs of self-harm or suicidal 

20 ideation; 

21 ‘‘(B) methods that students can use to 

22 seek help for themselves and others; and 

23 ‘‘(C) student resources for suicide aware24 ness and prevention; 


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1 ‘‘(4) shall provide for retraining of such stu2 dents every school year; 

3 ‘‘(5) may last for such period as the State edu4 cational agency, local educational agency, or Tribal 

5 educational agency involved determines to be appro6 priate; 

7 ‘‘(6) may be implemented through any delivery 

8 method, including in-person trainings, digital 

9 trainings, or train-the-trainer models; and 

10 ‘‘(7) may include discussion of comorbidities or 

11 risk factors for suicidal ideation or self-harm, includ12 ing substance misuse, sexual or physical abuse, men13 tal illness, or other evidence-based comorbidities and 

14 risk factors. 

15 ‘‘(c) COLLECTION OF INFORMATION AND REPORT16 ING.—Each State educational agency, local educational 

17 agency, and Tribal educational agency that receives funds 

18 under section 520A shall, with respect to each school 

19 served by the agency, collect and report to the Secretary 

20 the following information: 

21 ‘‘(1) The number of student trainings con22 ducted. 

23 ‘‘(2) The number of students trained, 

24 disaggregated by age and grade level. 


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1 ‘‘(3) The number of help-seeking reports made 

2 by students after implementation of such policy. 

3 ‘‘(d) EVIDENCE-BASED PROGRAM LISTING.—The 

4 Secretary of Health and Human Services shall coordinate 

5 with the Secretary of Education to make publicly available 

6 the policies established by State educational agencies, local 

7 educational agencies, and Tribal educational agencies pur8 suant to this section and the training that is available to 

9 students and teams pursuant to such policies, including 

10 identification of whether such training is available to 

11 trainees at no cost. 

12 ‘‘(e) IMPLEMENTATION TIMELINE.—A State edu13 cational agency, local educational agency, or Tribal edu14 cational agency shall establish and begin implementation 

15 of the policies required by subsection (a)(1) not later than 

16 the beginning of the third fiscal year following the date 

17 of enactment of this section for which the agency receives 

18 funds under section 520A. 

19 ‘‘(f) DEFINITIONS.—In this section and section 

20 520B–1: 

21 ‘‘(1) The term ‘evidence-based’ has the meaning 

22 given to such term in section 8101 of the Elemen23 tary and Secondary Education Act of 1965. 

24 ‘‘(2) The term ‘local educational agency’ has 

25 the meaning given to such term in section 8101 of 


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1 the Elementary and Secondary Education Act of 

2 1965. 

3 ‘‘(3) The term ‘State educational agency’ has 

4 the meaning given to such term in section 8101 of 

5 the Elementary and Secondary Education Act of 

6 1965. 

7 ‘‘(4) The term ‘Tribal educational agency’ has 

8 the meaning given to the term ‘tribal educational 

9 agency’ in section 6132 of the Elementary and Sec10 ondary Education Act of 1965. 

11 ‘‘SEC. 520B–1. BEST PRACTICES FOR STUDENT SUICIDE 

12 AWARENESS AND PREVENTION TRAINING. 

13 ‘‘The Secretary of Health and Human Services, in 

14 consultation with the Secretary of Education and the Bu15 reau of Indian Education, shall— 

16 ‘‘(1) publish best practices for school-based stu17 dent suicide awareness and prevention training, pur18 suant to section 520B, that are based on— 

19 ‘‘(A) evidence-based practices; and 

20 ‘‘(B) input from relevant Federal agencies, 

21 national organizations, Indian Tribes and Trib22 al organizations, and related stakeholders; 

23 ‘‘(2) publish guidance, based on the best prac24 tices under paragraph (1), to provide State edu25 cational agencies, local educational agencies, and 


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1 Tribal educational agencies with information on stu2 dent suicide awareness and prevention best prac3 tices; 

4 ‘‘(3) disseminate such best practices to State 

5 educational agencies, local educational agencies, and 

6 Tribal educational agencies; and 

7 ‘‘(4) provide technical assistance to State edu8 cational agencies, local educational agencies, and 

9 Tribal educational agencies.’’. 

10 SEC. 3. EFFECTIVE DATE. 

11 The amendments made by this Act shall only apply 

12 with respect to applications for assistance under section 

13 520A of the Public Health Service Act (42 U.S.C. 290bb– 

14 32) that are submitted after the date of enactment of this 

15 Act. 

Passed the House of Representatives September 29, 

2020. 

Attest: CHERYL L. JOHNSON, 

Clerk. 


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