I 

113TH CONGRESS 

1ST SESSION H. R. 2734 

To revise and extend provisions under the Garrett Lee Smith Memorial 

Act. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 18, 2013 

Mr. CASSIDY (for himself and Mr. DANNY K. DAVIS of Illinois) introduced the 

following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To revise and extend provisions under the Garrett Lee Smith 

Memorial Act. 

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 ‘‘Garrett Lee Smith Me5 morial Act Reauthorization of 2013’’. 

6 SEC. 2. SUICIDE PREVENTION TECHNICAL ASSISTANCE 

7 CENTER. 

8 Section 520C of the Public Health Service Act (42 

9 U.S.C. 290bb–34) is amended to read as follows: 


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1 ‘‘SEC. 520C. SUICIDE PREVENTION TECHNICAL ASSISTANCE 

2 CENTER. 

3 ‘‘(a) PROGRAM AUTHORIZED.—The Secretary, acting 

4 through the Administrator of the Substance Abuse and 

5 Mental Health Services Administration, shall award a 

6 grant for the operation and maintenance of a research, 

7 training, and technical assistance resource center to pro8 vide appropriate information, training, and technical as9 sistance to States, political subdivisions of States, feder10 ally recognized Indian tribes, tribal organizations, institu11 tions of higher education, public organizations, or private 

12 nonprofit organizations concerning the prevention of sui13 cide among all ages, particularly among groups that are 

14 at high risk for suicide. 

15 ‘‘(b) RESPONSIBILITIES OF THE CENTER.—The cen16 ter operated and maintained under subsection (a) shall— 

17 ‘‘(1) assist in the development or continuation 

18 of statewide and tribal suicide early intervention and 

19 prevention strategies for all ages, particularly among 

20 groups that are at high risk for suicide; 

21 ‘‘(2) ensure the surveillance of suicide early 

22 intervention and prevention strategies for all ages, 

23 particularly among groups that are at high risk for 

24 suicide; 

25 ‘‘(3) study the costs and effectiveness of state26 wide and tribal suicide early intervention and preVerDate Mar 15 2010 03:42 Jul 20, 2013 Jkt 029200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H2734.IH H2734

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1 vention strategies in order to provide information 

2 concerning relevant issues of importance to State, 

3 tribal, and national policymakers; 

4 ‘‘(4) further identify and understand causes 

5 and associated risk factors for suicide for all ages, 

6 particularly among groups that are at high risk for 

7 suicide; 

8 ‘‘(5) analyze the efficacy of new and existing 

9 suicide early intervention and prevention techniques 

10 and technology for all ages, particularly among 

11 groups that are at high risk for suicide; 

12 ‘‘(6) ensure the surveillance of suicidal behav13 iors and nonfatal suicidal attempts; 

14 ‘‘(7) study the effectiveness of State-sponsored 

15 statewide and tribal suicide early intervention and 

16 prevention strategies for all ages particularly among 

17 groups that are at high risk for suicide on the over18 all wellness and health promotion strategies related 

19 to suicide attempts; 

20 ‘‘(8) promote the sharing of data regarding sui21 cide with Federal agencies involved with suicide 

22 early intervention and prevention, and State-spon23 sored statewide and tribal suicide early intervention 

24 and prevention strategies for the purpose of identi25 fying previously unknown mental health causes and 


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1 associated risk factors for suicide among all ages 

2 particularly among groups that are at high risk for 

3 suicide; 

4 ‘‘(9) evaluate and disseminate outcomes and 

5 best practices of mental health and substance use 

6 disorder services at institutions of higher education; 

7 and 

8 ‘‘(10) conduct other activities determined ap9 propriate by the Secretary. 

10 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the 

11 purpose of carrying out this section, there are authorized 

12 to be appropriated $4,957,000 for each of the fiscal years 

13 2014 through 2018.’’. 

14 SEC. 3. YOUTH SUICIDE INTERVENTION AND PREVENTION 

15 STRATEGIES. 

16 Section 520E of the Public Health Service Act (42 

17 U.S.C. 290bb–36) is amended to read as follows: 

18 ‘‘SEC. 520E. YOUTH SUICIDE EARLY INTERVENTION AND 

19 PREVENTION STRATEGIES. 

20 ‘‘(a) IN GENERAL.—The Secretary, acting through 

21 the Administrator of the Substance Abuse and Mental 

22 Health Services Administration, shall award grants or co23 operative agreements to eligible entities to— 

24 ‘‘(1) develop and implement State-sponsored 

25 statewide or tribal youth suicide early intervention 


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1 and prevention strategies in schools, educational in2 stitutions, juvenile justice systems, substance use 

3 disorder programs, mental health programs, foster 

4 care systems, and other child and youth support or5 ganizations; 

6 ‘‘(2) support public organizations and private 

7 nonprofit organizations actively involved in State8 sponsored statewide or tribal youth suicide early 

9 intervention and prevention strategies and in the de10 velopment and continuation of State-sponsored 

11 statewide youth suicide early intervention and pre12 vention strategies; 

13 ‘‘(3) provide grants to institutions of higher 

14 education to coordinate the implementation of State15 sponsored statewide or tribal youth suicide early 

16 intervention and prevention strategies; 

17 ‘‘(4) collect and analyze data on State-spon18 sored statewide or tribal youth suicide early inter19 vention and prevention services that can be used to 

20 monitor the effectiveness of such services and for re21 search, technical assistance, and policy development; 

22 and 

23 ‘‘(5) assist eligible entities, through State-spon24 sored statewide or tribal youth suicide early inter25 vention and prevention strategies, in achieving tarVerDate Mar 15 2010 03:42 Jul 20, 2013 Jkt 029200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H2734.IH H2734

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1 gets for youth suicide reductions under title V of the 

2 Social Security Act. 

3 ‘‘(b) ELIGIBLE ENTITY.— 

4 ‘‘(1) DEFINITION.—In this section, the term 

5 ‘eligible entity’ means— 

6 ‘‘(A) a State; 

7 ‘‘(B) a public organization or private non8 profit organization designated by a State to de9 velop or direct the State-sponsored statewide 

10 youth suicide early intervention and prevention 

11 strategy; or 

12 ‘‘(C) a federally recognized Indian tribe or 

13 tribal organization (as defined in the Indian 

14 Self-Determination and Education Assistance 

15 Act) or an urban Indian organization (as de16 fined in the Indian Health Care Improvement 

17 Act) that is actively involved in the development 

18 and continuation of a tribal youth suicide early 

19 intervention and prevention strategy. 

20 ‘‘(2) LIMITATION.—In carrying out this section, 

21 the Secretary shall ensure that a State does not re22 ceive more than one grant or cooperative agreement 

23 under this section at any one time. For purposes of 

24 the preceding sentence, a State shall be considered 

25 to have received a grant or cooperative agreement if 


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1 the eligible entity involved is the State or an entity 

2 designated by the State under paragraph (1)(B). 

3 Nothing in this paragraph shall be constructed to 

4 apply to entities described in paragraph (1)(C). 

5 ‘‘(c) PREFERENCE.—In providing assistance under a 

6 grant or cooperative agreement under this section, an eli7 gible entity shall give preference to public organizations, 

8 private nonprofit organizations, political subdivisions, in9 stitutions of higher education, and tribal organizations ac10 tively involved with the State-sponsored statewide or tribal 

11 youth suicide early intervention and prevention strategy 

12 that— 

13 ‘‘(1) provide early intervention and assessment 

14 services, including screening programs, to youth who 

15 are at risk for mental or emotional disorders that 

16 may lead to a suicide attempt, and that are inte17 grated with school systems, educational institutions, 

18 juvenile justice systems, substance use disorder pro19 grams, mental health programs, foster care systems, 

20 and other child and youth support organizations; 

21 ‘‘(2) demonstrate collaboration among early 

22 intervention and prevention services or certify that 

23 entities will engage in future collaboration; 

24 ‘‘(3) employ or include in their applications a 

25 commitment to evaluate youth suicide early intervenVerDate Mar 15 2010 03:42 Jul 20, 2013 Jkt 029200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H2734.IH H2734

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1 tion and prevention practices and strategies adapted 

2 to the local community; 

3 ‘‘(4) provide timely referrals for appropriate 

4 community-based mental health care and treatment 

5 of youth who are at risk for suicide in child-serving 

6 settings and agencies; 

7 ‘‘(5) provide immediate support and informa8 tion resources to families of youth who are at risk 

9 for suicide; 

10 ‘‘(6) offer access to services and care to youth 

11 with diverse linguistic and cultural backgrounds; 

12 ‘‘(7) offer appropriate postsuicide intervention 

13 services, care, and information to families, friends, 

14 schools, educational institutions, juvenile justice sys15 tems, substance use disorder programs, mental 

16 health programs, foster care systems, and other 

17 child and youth support organizations of youth who 

18 recently completed suicide; 

19 ‘‘(8) offer continuous and up-to-date informa20 tion and awareness campaigns that target parents, 

21 family members, child care professionals, community 

22 care providers, and the general public and highlight 

23 the risk factors associated with youth suicide and 

24 the life-saving help and care available from early 

25 intervention and prevention services; 


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1 ‘‘(9) ensure that information and awareness 

2 campaigns on youth suicide risk factors, and early 

3 intervention and prevention services, use effective 

4 communication mechanisms that are targeted to and 

5 reach youth, families, schools, educational institu6 tions, and youth organizations; 

7 ‘‘(10) provide a timely response system to en8 sure that child-serving professionals and providers 

9 are properly trained in youth suicide early interven10 tion and prevention strategies and that child-serving 

11 professionals and providers involved in early inter12 vention and prevention services are properly trained 

13 in effectively identifying youth who are at risk for 

14 suicide; 

15 ‘‘(11) provide continuous training activities for 

16 child care professionals and community care pro17 viders on the latest youth suicide early intervention 

18 and prevention services practices and strategies; 

19 ‘‘(12) conduct annual self-evaluations of out20 comes and activities, including consulting with inter21 ested families and advocacy organizations; 

22 ‘‘(13) provide services in areas or regions with 

23 rates of youth suicide that exceed the national aver24 age as determined by the Centers for Disease Con25 trol and Prevention; and 


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1 ‘‘(14) obtain informed written consent from a 

2 parent or legal guardian of an at-risk child before 

3 involving the child in a youth suicide early interven4 tion and prevention program. 

5 ‘‘(d) REQUIREMENT FOR DIRECT SERVICES.—Not 

6 less than 85 percent of grant funds received under this 

7 section shall be used to provide direct services, of which 

8 not less than 5 percent shall be used for activities author9 ized under subsection (a)(3). 

10 ‘‘(e) CONSULTATION AND POLICY DEVELOPMENT.— 

11 ‘‘(1) IN GENERAL.—In carrying out this sec12 tion, the Secretary shall collaborate with relevant 

13 Federal agencies and suicide working groups respon14 sible for early intervention and prevention services 

15 relating to youth suicide. 

16 ‘‘(2) CONSULTATION.—In carrying out this sec17 tion, the Secretary shall consult with— 

18 ‘‘(A) State and local agencies, including 

19 agencies responsible for early intervention and 

20 prevention services under title XIX of the So21 cial Security Act, the State Children’s Health 

22 Insurance Program under title XXI of the So23 cial Security Act, and programs funded by 

24 grants under title V of the Social Security Act; 


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1 ‘‘(B) local and national organizations that 

2 serve youth at risk for suicide and their fami3 lies; 

4 ‘‘(C) relevant national medical and other 

5 health and education specialty organizations; 

6 ‘‘(D) youth who are at risk for suicide, 

7 who have survived suicide attempts, or who are 

8 currently receiving care from early intervention 

9 services; 

10 ‘‘(E) families and friends of youth who are 

11 at risk for suicide, who have survived suicide at12 tempts, who are currently receiving care from 

13 early intervention and prevention services, or 

14 who have completed suicide; 

15 ‘‘(F) qualified professionals who possess 

16 the specialized knowledge, skills, experience, 

17 and relevant attributes needed to serve youth at 

18 risk for suicide and their families; and 

19 ‘‘(G) third-party payers, managed care or20 ganizations, and related commercial industries. 

21 ‘‘(3) POLICY DEVELOPMENT.—In carrying out 

22 this section, the Secretary shall— 

23 ‘‘(A) coordinate and collaborate on policy 

24 development at the Federal level with the relVerDate Mar 15 2010 03:42 Jul 20, 2013 Jkt 029200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6201 E:\BILLS\H2734.IH H2734

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1 evant Department of Health and Human Serv2 ices agencies and suicide working groups; and 

3 ‘‘(B) consult on policy development at the 

4 Federal level with the private sector, including 

5 consumer, medical, suicide prevention advocacy 

6 groups, and other health and education profes7 sional-based organizations, with respect to 

8 State-sponsored statewide or tribal youth sui9 cide early intervention and prevention strate10 gies. 

11 ‘‘(f) RULE OF CONSTRUCTION; RELIGIOUS AND

12 MORAL ACCOMMODATION.—Nothing in this section shall 

13 be construed to require suicide assessment, early interven14 tion, or treatment services for youth whose parents or 

15 legal guardians object based on the parents’ or legal 

16 guardians’ religious beliefs or moral objections. 

17 ‘‘(g) EVALUATIONS AND REPORT.— 

18 ‘‘(1) EVALUATIONS BY ELIGIBLE ENTITIES.— 

19 Not later than 18 months after receiving a grant or 

20 cooperative agreement under this section, an eligible 

21 entity shall submit to the Secretary the results of an 

22 evaluation to be conducted by the entity concerning 

23 the effectiveness of the activities carried out under 

24 the grant or agreement. 


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1 ‘‘(2) REPORT.—Not later than 2 years after the 

2 date of enactment of this section, the Secretary shall 

3 submit to the appropriate committees of Congress a 

4 report concerning the results of— 

5 ‘‘(A) the evaluations conducted under 

6 paragraph (1); and 

7 ‘‘(B) an evaluation conducted by the Sec8 retary to analyze the effectiveness and efficacy 

9 of the activities conducted with grants, collabo10 rations, and consultations under this section. 

11 ‘‘(h) RULE OF CONSTRUCTION; STUDENT MEDICA12 TION.—Nothing in this section shall be construed to allow 

13 school personnel to require that a student obtain any 

14 medication as a condition of attending school or receiving 

15 services. 

16 ‘‘(i) PROHIBITION.—Funds appropriated to carry out 

17 this section, section 527, or section 529 shall not be used 

18 to pay for or refer for abortion. 

19 ‘‘(j) PARENTAL CONSENT.—States and entities re20 ceiving funding under this section shall obtain prior writ21 ten, informed consent from the child’s parent or legal 

22 guardian for assessment services, school-sponsored pro23 grams, and treatment involving medication related to 

24 youth suicide conducted in elementary and secondary 


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1 schools. The requirement of the preceding sentence does 

2 not apply in the following cases: 

3 ‘‘(1) In an emergency, where it is necessary to 

4 protect the immediate health and safety of the stu5 dent or other students. 

6 ‘‘(2) Other instances, as defined by the State, 

7 where parental consent cannot reasonably be ob8 tained. 

9 ‘‘(k) RELATION TO EDUCATION PROVISIONS.—Noth10 ing in this section shall be construed to supersede section 

11 444 of the General Education Provisions Act, including 

12 the requirement of prior parental consent for the disclo13 sure of any education records. Nothing in this section shall 

14 be construed to modify or affect parental notification re15 quirements for programs authorized under the Elementary 

16 and Secondary Education Act of 1965 (as amended by the 

17 No Child Left Behind Act of 2001; Public Law 107–110). 

18 ‘‘(l) DEFINITIONS.—In this section: 

19 ‘‘(1) EARLY INTERVENTION.—The term ‘early 

20 intervention’ means a strategy or approach that is 

21 intended to prevent an outcome or to alter the 

22 course of an existing condition. 

23 ‘‘(2) EDUCATIONAL INSTITUTION; INSTITUTION

24 OF HIGHER EDUCATION; SCHOOL.—The term— 


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1 ‘‘(A) ‘educational institution’ means a 

2 school or institution of higher education; 

3 ‘‘(B) ‘institution of higher education’ has 

4 the meaning given such term in section 101 of 

5 the Higher Education Act of 1965; and 

6 ‘‘(C) ‘school’ means an elementary or sec7 ondary school (as such terms are defined in sec8 tion 9101 of the Elementary and Secondary 

9 Education Act of 1965). 

10 ‘‘(3) PREVENTION.—The term ‘prevention’ 

11 means a strategy or approach that reduces the likeli12 hood or risk of onset, or delays the onset, of adverse 

13 health problems that have been known to lead to sui14 cide. 

15 ‘‘(4) YOUTH.—The term ‘youth’ means individ16 uals who are between 10 and 24 years of age. 

17 ‘‘(m) AUTHORIZATION OF APPROPRIATIONS.—For 

18 the purpose of carrying out this section, there are author19 ized to be appropriated $29,738,000 for each of the fiscal 

20 years 2014 through 2018.’’. 

21 SEC. 4. MENTAL HEALTH AND SUBSTANCE USE DISORDERS 

22 SERVICES AND OUTREACH ON CAMPUS. 

23 Section 520E–2 of the Public Health Service Act (42 

24 U.S.C. 290bb–36b) is amended to read as follows: 


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1 ‘‘SEC. 520E–2. MENTAL HEALTH AND SUBSTANCE USE DIS2 ORDERS SERVICES ON CAMPUS. 

3 ‘‘(a) IN GENERAL.—The Secretary, acting through 

4 the Director of the Center for Mental Health Services and 

5 in consultation with the Secretary of Education, shall 

6 award grants on a competitive basis to institutions of 

7 higher education to enhance services for students with 

8 mental health or substance use disorders and to develop 

9 best practices for the delivery of such services. 

10 ‘‘(b) USES OF FUNDS.—Amounts received under a 

11 grant under this section shall be used for 1 or more of 

12 the following activities: 

13 ‘‘(1) The provision of mental health and sub14 stance use disorder services to students, including 

15 prevention, promotion of mental health, voluntary 

16 screening, early intervention, voluntary assessment, 

17 treatment, and management of mental health and 

18 substance abuse disorder issues. 

19 ‘‘(2) The provision of outreach services to notify 

20 students about the existence of mental health and 

21 substance use disorder services. 

22 ‘‘(3) Educating students, families, faculty, staff, 

23 and communities to increase awareness of mental 

24 health and substance use disorders. 

25 ‘‘(4) The employment of appropriately trained 

26 staff, including administrative staff. 


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1 ‘‘(5) The provision of training to students, fac2 ulty, and staff to respond effectively to students with 

3 mental health and substance use disorders. 

4 ‘‘(6) The creation of a networking infrastruc5 ture to link colleges and universities with providers 

6 who can treat mental health and substance use dis7 orders. 

8 ‘‘(7) Developing, supporting, evaluating, and 

9 disseminating evidence-based and emerging best 

10 practices. 

11 ‘‘(c) IMPLEMENTATION OF ACTIVITIES USING GRANT

12 FUNDS.—An institution of higher education that receives 

13 a grant under this section may carry out activities under 

14 the grant through— 

15 ‘‘(1) college counseling centers; 

16 ‘‘(2) college and university psychological service 

17 centers; 

18 ‘‘(3) mental health centers; 

19 ‘‘(4) psychology training clinics; 

20 ‘‘(5) institution of higher education supported, 

21 evidence-based, mental health and substance use dis22 order programs; or 

23 ‘‘(6) any other entity that provides mental 

24 health and substance use disorder services at an in25 stitution of higher education. 


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1 ‘‘(d) APPLICATION.—To be eligible to receive a grant 

2 under this section, an institution of higher education shall 

3 prepare and submit to the Secretary an application at 

4 such time and in such manner as the Secretary may re5 quire. At a minimum, such application shall include the 

6 following: 

7 ‘‘(1) A description of identified mental health 

8 and substance use disorder needs of students at the 

9 institution of higher education. 

10 ‘‘(2) A description of Federal, State, local, pri11 vate, and institutional resources currently available 

12 to address the needs described in paragraph (1) at 

13 the institution of higher education. 

14 ‘‘(3) A description of the outreach strategies of 

15 the institution of higher education for promoting ac16 cess to services, including a proposed plan for reach17 ing those students most in need of mental health 

18 services. 

19 ‘‘(4) A plan, when applicable, to meet the spe20 cific mental health and substance use disorder needs 

21 of veterans attending institutions of higher edu22 cation. 

23 ‘‘(5) A plan to seek input from community 

24 mental health providers, when available, community 


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1 groups and other public and private entities in car2 rying out the program under the grant. 

3 ‘‘(6) A plan to evaluate program outcomes, in4 cluding a description of the proposed use of funds, 

5 the program objectives, and how the objectives will 

6 be met. 

7 ‘‘(7) An assurance that the institution will sub8 mit a report to the Secretary each fiscal year con9 cerning the activities carried out with the grant and 

10 the results achieved through those activities. 

11 ‘‘(e) SPECIAL CONSIDERATIONS.—In awarding 

12 grants under this section, the Secretary shall give special 

13 consideration to applications that describe programs to be 

14 carried out under the grant that— 

15 ‘‘(1) demonstrate the greatest need for new or 

16 additional mental and substance use disorder serv17 ices, in part by providing information on current ra18 tios of students to mental health and substance use 

19 disorder health professionals; and 

20 ‘‘(2) demonstrate the greatest potential for rep21 lication. 

22 ‘‘(f) REQUIREMENT OF MATCHING FUNDS.— 

23 ‘‘(1) IN GENERAL.—The Secretary may make a 

24 grant under this section to an institution of higher 

25 education only if the institution agrees to make 


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1 available (directly or through donations from public 

2 or private entities) non-Federal contributions in an 

3 amount that is not less than $1 for each $1 of Fed4 eral funds provided under the grant, toward the 

5 costs of activities carried out with the grant (as de6 scribed in subsection (b)) and other activities by the 

7 institution to reduce student mental health and sub8 stance use disorders. 

9 ‘‘(2) DETERMINATION OF AMOUNT CONTRIB10 UTED.—Non-Federal contributions required under 

11 paragraph (1) may be in cash or in kind. Amounts 

12 provided by the Federal Government, or services as13 sisted or subsidized to any significant extent by the 

14 Federal Government, may not be included in deter15 mining the amount of such non-Federal contribu16 tions. 

17 ‘‘(3) WAIVER.—The Secretary may waive the 

18 application of paragraph (1) with respect to an insti19 tution of higher education if the Secretary deter20 mines that extraordinary need at the institution jus21 tifies the waiver. 

22 ‘‘(g) REPORTS.—For each fiscal year that grants are 

23 awarded under this section, the Secretary shall conduct 

24 a study on the results of the grants and submit to the 


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1 Congress a report on such results that includes the fol2 lowing: 

3 ‘‘(1) An evaluation of the grant program out4 comes, including a summary of activities carried out 

5 with the grant and the results achieved through 

6 those activities. 

7 ‘‘(2) Recommendations on how to improve ac8 cess to mental health and substance use disorder 

9 services at institutions of higher education, including 

10 efforts to reduce the incidence of suicide and sub11 stance use disorders. 

12 ‘‘(h) DEFINITIONS.—In this section, the term ‘insti13 tution of higher education’ has the meaning given such 

14 term in section 101 of the Higher Education Act of 1965. 

15 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—For the 

16 purpose of carrying out this section, there are authorized 

17 to be appropriated $4,975,000 for each of the fiscal years 

18 2014 through 2018.’’. 

Æ 


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