IB 

Union Calendar No. 442 

116TH CONGRESS 

2D SESSION H. R. 7293 

[Report No. 116–542] 

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. 

IN THE HOUSE OF REPRESENTATIVES 

JUNE 22, 2020 

Mr. PETERS (for himself, Mr. BILIRAKIS, Mr. DEUTCH, and Mr. 

FITZPATRICK) introduced the following bill; which was referred to the 

Committee on Energy and Commerce 

SEPTEMBER 29, 2020 

Additional sponsors: Ms. WILD, Mr. KATKO, Mr. SOTO, Mrs. DAVIS of California, Mrs. MURPHY of Florida, Ms. KUSTER of New Hampshire, Mr. 

VARGAS, Mrs. HAYES, Mr. NEGUSE, Miss RICE of New York, Mr. 

ROUDA, Ms. BLUNT ROCHESTER, Ms. BROWNLEY of California, Mr. 

TRONE, Mr. RYAN, Ms. DEGETTE, Mr. UPTON, Ms. JUDY CHU of California, Mr. HARDER of California, Mr. TONKO, Mrs. DEMINGS, Mr. 

JOHNSON of Georgia, Mr. CRIST, Mr. HASTINGS, Mr. VAN DREW, Ms. 

VELA ́ZQUEZ, Mr. LUJA ́N, Mrs. NAPOLITANO, Ms. DEAN, Mr. SAN NICOLAS, Mr. ROSE of New York, Mr. LARSON of Connecticut, and Mr. 

LIPINSKI

SEPTEMBER 29, 2020 

Reported with an amendment; committed to the Committee of the Whole 

House on the State of the Union and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on June 22, 2020] 


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A BILL 

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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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 Service 

10 Act is amended by inserting after section 520A of such Act 

11 (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 funds 

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

16 educational agency, and Tribal educational agency that re17 ceives such funds, directly or through a State or Indian 

18 Tribe, for activities to be performed within secondary 

19 schools, including the Project AWARE State Education 

20 Agency Grant Program, shall— 

21 ‘‘(1) establish and implement a school-based stu22 dent suicide awareness and prevention training pol23 icy; 

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 policy 

2 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 stu7 dent suicide awareness and prevention training policy im8 plemented 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 stu13 dents in grades 6 through 12, in coordination with 

14 school-based mental health service providers as de15 fined in section 4102(6) of the Elementary and Sec16 ondary Education Act of 1965, if applicable, regard17 ing— 

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 seek 

22 help for themselves and others; and 

23 ‘‘(C) student resources for suicide awareness 

24 and prevention; 


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1 ‘‘(4) shall provide for retraining of such students 

2 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 served 

19 by the agency, collect and report to the Secretary the fol20 lowing information: 

21 ‘‘(1) The number of student trainings conducted. 

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

23 disaggregated by age and grade level. 

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

25 students after implementation of such policy. 


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1 ‘‘(d) EVIDENCE-BASED PROGRAM LISTING.—The Sec2 retary of Health and Human Services shall coordinate with 

3 the Secretary of Education to make publicly available the 

4 policies established by State educational agencies, local edu5 cational agencies, and Tribal educational agencies pursu6 ant to this section and the training that is available to stu7 dents and teams pursuant to such policies, including identi8 fication of whether such training is available to trainees 

9 at no cost. 

10 ‘‘(e) IMPLEMENTATION TIMELINE.—A State edu11 cational agency, local educational agency, or Tribal edu12 cational agency shall establish and begin implementation 

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

14 the beginning of the third fiscal year following the date of 

15 enactment of this section for which the agency receives funds 

16 under section 520A. 

17 ‘‘(f) DEFINITIONS.—In this section and section 520B– 

18 1: 

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

20 given to such term in section 8101 of the Elementary 

21 and Secondary Education Act of 1965. 

22 ‘‘(2) The term ‘local educational agency’ has the 

23 meaning given to such term in section 8101 of the El24 ementary and Secondary Education Act of 1965. 


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

2 meaning given to such term in section 8101 of the El3 ementary and Secondary Education Act of 1965. 

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

5 the meaning given to the term ‘tribal educational 

6 agency’ in section 6132 of the Elementary and Sec7 ondary Education Act of 1965. 

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

9 AWARENESS AND PREVENTION TRAINING. 

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

11 consultation with the Secretary of Education and the Bu12 reau of Indian Education, shall— 

13 ‘‘(1) publish best practices for school-based stu14 dent suicide awareness and prevention training, pur15 suant to section 520B, that are based on— 

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

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

18 national organizations, Indian Tribes and Trib19 al organizations, and related stakeholders; 

20 ‘‘(2) publish guidance, based on the best practices 

21 under paragraph (1), to provide State educational 

22 agencies, local educational agencies, and Tribal edu23 cational agencies with information on student suicide 

24 awareness and prevention best practices; 


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1 ‘‘(3) disseminate such best practices to State edu2 cational agencies, local educational agencies, and 

3 Tribal educational agencies; and 

4 ‘‘(4) provide technical assistance to State edu5 cational agencies, local educational agencies, and 

6 Tribal educational agencies.’’. 

7 SEC. 3. EFFECTIVE DATE. 

8 The amendments made by this Act shall only apply 

9 with respect to applications for assistance under section 

10 520A of the Public Health Service Act (42 U.S.C. 290bb– 

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

12 Act. 


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kjohnson on DSK79L0C42PROD with BILLS
Union Calendar No. 442 

116TH CONGRESS 

2D SESSION H. R. 7293 

[Report No. 116–542] 

A BILL 

To amend the Public Health Service Act to provide 

and prevention training policy. ment a school-based student suicide awareness section 520A of such Act to establish and impletribal educational agencies receiving funds under cational agencies, local educational agencies, and prevention training and condition State edubest practices on student suicide awareness and 

SEPTEMBER 29, 2020 

Reported with an amendment; committed to the Comand ordered to be printed mittee of the Whole House on the State of the Union 


kjohnson on DSK79L0C42PROD with BILLS