II 

114TH CONGRESS 

1ST SESSION S. 1299 

To revise and extend provisions under the Garrett Lee Smith Memorial 

Act. 

IN THE SENATE OF THE UNITED STATES 

MAY 12, 2015 

Mr. REED (for himself, Ms. MURKOWSKI, Mr. UDALL, Mr. DURBIN, Mr. 

COONS, Ms. WARREN, Mr. SCHATZ, Mr. HEINRICH, Mr. DONNELLY, Ms. 

AYOTTE, Ms. KLOBUCHAR, Mr. BLUMENTHAL, Ms. STABENOW, Mr. 

TESTER, Ms. HIRONO, Mr. MERKLEY, Mr. SANDERS, Mr. GRASSLEY, Ms. 

COLLINS, and Mr. REID) introduced the following bill; which was read 

twice and referred to the Committee on Health, Education, Labor, and 

Pensions 

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 2015’’. 


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1 SEC. 2. SUICIDE PREVENTION TECHNICAL ASSISTANCE 

2 CENTER. 

3 (a) REPEAL.—Section 520C of the Public Health 

4 Service Act (42 U.S.C. 290bb–34) is repealed. 

5 (b) SUICIDE PREVENTION TECHNICAL ASSISTANCE

6 CENTER.—Title V of the Public Health Service Act (42 

7 U.S.C. 290aa et seq.) (as amended by subsection (a)) is 

8 amended by inserting after section 520B the following: 

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

10 CENTER. 

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

12 through the Administrator of the Substance Abuse and 

13 Mental Health Services Administration, shall establish a 

14 research, training, and technical assistance resource cen15 ter to provide appropriate information, training, and tech16 nical assistance to States, political subdivisions of States, 

17 federally recognized Indian tribes, tribal organizations, in18 stitutions of higher education, public organizations, or pri19 vate nonprofit organizations concerning the prevention of 

20 suicide among all ages, particularly among groups that are 

21 at high risk for suicide. 

22 ‘‘(b) RESPONSIBILITIES OF THE CENTER.—The cen23 ter established under subsection (a) shall— 

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

25 of statewide and tribal suicide early intervention and 


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1 prevention strategies for all ages, particularly among 

2 groups that are at high risk for suicide; 

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

4 intervention and prevention strategies for all ages, 

5 particularly among groups that are at high risk for 

6 suicide; 

7 ‘‘(3) study the costs and effectiveness of state8 wide and tribal suicide early intervention and pre9 vention strategies in order to provide information 

10 concerning relevant issues of importance to State, 

11 tribal, and national policymakers; 

12 ‘‘(4) further identify and understand causes 

13 and associated risk factors for suicide for all ages, 

14 particularly among groups that are at high risk for 

15 suicide; 

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

17 suicide early intervention and prevention techniques 

18 and technology for all ages, particularly among 

19 groups that are at high risk for suicide; 

20 ‘‘(6) ensure the surveillance of suicidal behav21 iors and nonfatal suicidal attempts; 

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

23 statewide and tribal suicide early intervention and 

24 prevention strategies for all ages particularly among 

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1 all wellness and health promotion strategies related 

2 to suicide attempts; 

3 ‘‘(8) promote the sharing of data regarding sui4 cide with Federal agencies involved with suicide 

5 early intervention and prevention, and State-spon6 sored statewide and tribal suicide early intervention 

7 and prevention strategies for the purpose of identi8 fying previously unknown mental health causes and 

9 associated risk factors for suicide among all ages 

10 particularly among groups that are at high risk for 

11 suicide; 

12 ‘‘(9) evaluate and disseminate outcomes and 

13 best practices of mental health and substance use 

14 disorder services at institutions of higher education; 

15 and 

16 ‘‘(10) conduct other activities determined ap17 propriate by the Secretary. 

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

19 purpose of carrying out this section, there are authorized 

20 to be appropriated $6,000,000 for each of the fiscal years 

21 2016 through 2020.’’. 

22 SEC. 3. YOUTH SUICIDE INTERVENTION AND PREVENTION 

23 STRATEGIES. 

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

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


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

2 PREVENTION STRATEGIES. 

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

4 the Administrator of the Substance Abuse and Mental 

5 Health Services Administration, shall award grants or co6 operative agreements to eligible entities to— 

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

8 statewide or tribal youth suicide early intervention 

9 and prevention strategies in schools, educational in10 stitutions, juvenile justice systems, substance use 

11 disorder programs, mental health programs, foster 

12 care systems, and other child and youth support or13 ganizations; 

14 ‘‘(2) support public organizations and private 

15 nonprofit organizations actively involved in State16 sponsored statewide or tribal youth suicide early 

17 intervention and prevention strategies and in the de18 velopment and continuation of State-sponsored 

19 statewide youth suicide early intervention and pre20 vention strategies; 

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

22 education to coordinate the implementation of State23 sponsored statewide or tribal youth suicide early 

24 intervention and prevention strategies; 

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1 vention and prevention services that can be used to 

2 monitor the effectiveness of such services and for re3 search, technical assistance, and policy development; 

4 and 

5 ‘‘(5) assist eligible entities, through State-spon6 sored statewide or tribal youth suicide early inter7 vention and prevention strategies, in achieving tar8 gets for youth suicide reductions under title V of the 

9 Social Security Act. 

10 ‘‘(b) ELIGIBLE ENTITY.— 

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

12 ‘eligible entity’ means— 

13 ‘‘(A) a State; 

14 ‘‘(B) a public organization or private non15 profit organization designated by a State to de16 velop or direct the State-sponsored statewide 

17 youth suicide early intervention and prevention 

18 strategy; or 

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

20 tribal organization (as defined in the Indian 

21 Self-Determination and Education Assistance 

22 Act) or an urban Indian organization (as de23 fined in the Indian Health Care Improvement 

24 Act) that is actively involved in the development 


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1 and continuation of a tribal youth suicide early 

2 intervention and prevention strategy. 

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

4 the Secretary shall ensure that a State does not re5 ceive more than one grant or cooperative agreement 

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

7 the preceding sentence, a State shall be considered 

8 to have received a grant or cooperative agreement if 

9 the eligible entity involved is the State or an entity 

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

11 Nothing in this paragraph shall be constructed to 

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

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

14 grant or cooperative agreement under this section, an eli15 gible entity shall give preference to public organizations, 

16 private nonprofit organizations, political subdivisions, in17 stitutions of higher education, and tribal organizations ac18 tively involved with the State-sponsored statewide or tribal 

19 youth suicide early intervention and prevention strategy 

20 that— 

21 ‘‘(1) provide early intervention and assessment 

22 services, including screening programs, to youth who 

23 are at risk for mental or emotional disorders that 

24 may lead to a suicide attempt, and that are inte25 grated with school systems, educational institutions, 


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1 juvenile justice systems, substance use disorder pro2 grams, mental health programs, foster care systems, 

3 and other child and youth support organizations; 

4 ‘‘(2) demonstrate collaboration among early 

5 intervention and prevention services or certify that 

6 entities will engage in future collaboration; 

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

8 commitment to evaluate youth suicide early interven9 tion and prevention practices and strategies adapted 

10 to the local community; 

11 ‘‘(4) provide timely referrals for appropriate 

12 community-based mental health care and treatment 

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

14 settings and agencies; 

15 ‘‘(5) provide immediate support and informa16 tion resources to families of youth who are at risk 

17 for suicide; 

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

19 with diverse linguistic and cultural backgrounds; 

20 ‘‘(7) offer appropriate postsuicide intervention 

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

22 schools, educational institutions, juvenile justice sys23 tems, substance use disorder programs, mental 

24 health programs, foster care systems, and other 


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1 child and youth support organizations of youth who 

2 recently completed suicide; 

3 ‘‘(8) offer continuous and up-to-date informa4 tion and awareness campaigns that target parents, 

5 family members, child care professionals, community 

6 care providers, and the general public and highlight 

7 the risk factors associated with youth suicide and 

8 the life-saving help and care available from early 

9 intervention and prevention services; 

10 ‘‘(9) ensure that information and awareness 

11 campaigns on youth suicide risk factors, and early 

12 intervention and prevention services, use effective 

13 communication mechanisms that are targeted to and 

14 reach youth, families, schools, educational institu15 tions, and youth organizations; 

16 ‘‘(10) provide a timely response system to en17 sure that child-serving professionals and providers 

18 are properly trained in youth suicide early interven19 tion and prevention strategies and that child-serving 

20 professionals and providers involved in early inter21 vention and prevention services are properly trained 

22 in effectively identifying youth who are at risk for 

23 suicide; 

24 ‘‘(11) provide continuous training activities for 

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1 viders on the latest youth suicide early intervention 

2 and prevention services practices and strategies; 

3 ‘‘(12) conduct annual self-evaluations of out4 comes and activities, including consulting with inter5 ested families and advocacy organizations; 

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

7 rates of youth suicide that exceed the national aver8 age as determined by the Centers for Disease Con9 trol and Prevention; and 

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

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

12 involving the child in a youth suicide early interven13 tion and prevention program. 

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

15 less than 85 percent of grant funds received under this 

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

17 not less than 5 percent shall be used for activities author18 ized under subsection (a)(3). 

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

20 ‘‘(1) IN GENERAL.—In carrying out this sec21 tion, the Secretary shall collaborate with relevant 

22 Federal agencies and suicide working groups respon23 sible for early intervention and prevention services 

24 relating to youth suicide. 


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1 ‘‘(2) CONSULTATION.—In carrying out this sec2 tion, the Secretary shall consult with— 

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

4 agencies responsible for early intervention and 

5 prevention services under title XIX of the So6 cial Security Act, the State Children’s Health 

7 Insurance Program under title XXI of the So8 cial Security Act, and programs funded by 

9 grants under title V of the Social Security Act; 

10 ‘‘(B) local and national organizations that 

11 serve youth at risk for suicide and their fami12 lies; 

13 ‘‘(C) relevant national medical and other 

14 health and education specialty organizations; 

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

16 who have survived suicide attempts, or who are 

17 currently receiving care from early intervention 

18 services; 

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

20 at risk for suicide, who have survived suicide at21 tempts, who are currently receiving care from 

22 early intervention and prevention services, or 

23 who have completed suicide; 

24 ‘‘(F) qualified professionals who possess 

25 the specialized knowledge, skills, experience, 


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1 and relevant attributes needed to serve youth at 

2 risk for suicide and their families; and 

3 ‘‘(G) third-party payers, managed care or4 ganizations, and related commercial industries. 

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

6 this section, the Secretary shall— 

7 ‘‘(A) coordinate and collaborate on policy 

8 development at the Federal level with the rel9 evant Department of Health and Human Serv10 ices agencies and suicide working groups; and 

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

12 Federal level with the private sector, including 

13 consumer, medical, suicide prevention advocacy 

14 groups, and other health and education profes15 sional-based organizations, with respect to 

16 State-sponsored statewide or tribal youth sui17 cide early intervention and prevention strate18 gies. 

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

20 MORAL ACCOMMODATION.—Nothing in this section shall 

21 be construed to require suicide assessment, early interven22 tion, or treatment services for youth whose parents or 

23 legal guardians object based on the parents’ or legal 

24 guardians’ religious beliefs or moral objections. 

25 ‘‘(g) EVALUATIONS AND REPORT.— 


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

2 Not later than 18 months after receiving a grant or 

3 cooperative agreement under this section, an eligible 

4 entity shall submit to the Secretary the results of an 

5 evaluation to be conducted by the entity concerning 

6 the effectiveness of the activities carried out under 

7 the grant or agreement. 

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

9 date of enactment of this section, the Secretary shall 

10 submit to the appropriate committees of Congress a 

11 report concerning the results of— 

12 ‘‘(A) the evaluations conducted under 

13 paragraph (1); and 

14 ‘‘(B) an evaluation conducted by the Sec15 retary to analyze the effectiveness and efficacy 

16 of the activities conducted with grants, collabo17 rations, and consultations under this section. 

18 ‘‘(h) RULE OF CONSTRUCTION; STUDENT MEDICA19 TION.—Nothing in this section shall be construed to allow 

20 school personnel to require that a student obtain any 

21 medication as a condition of attending school or receiving 

22 services. 

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

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

25 to pay for or refer for abortion. 


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1 ‘‘(j) PARENTAL CONSENT.—States and entities re2 ceiving funding under this section shall obtain prior writ3 ten, informed consent from the child’s parent or legal 

4 guardian for assessment services, school-sponsored pro5 grams, and treatment involving medication related to 

6 youth suicide conducted in elementary and secondary 

7 schools. The requirement of the preceding sentence does 

8 not apply in the following cases: 

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

10 protect the immediate health and safety of the stu11 dent or other students. 

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

13 where parental consent cannot reasonably be ob14 tained. 

15 ‘‘(k) RELATION TO EDUCATION PROVISIONS.—Noth16 ing in this section shall be construed to supersede section 

17 444 of the General Education Provisions Act, including 

18 the requirement of prior parental consent for the disclo19 sure of any education records. Nothing in this section shall 

20 be construed to modify or affect parental notification re21 quirements for programs authorized under the Elementary 

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

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

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


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

2 intervention’ means a strategy or approach that is 

3 intended to prevent an outcome or to alter the 

4 course of an existing condition. 

5 ‘‘(2) EDUCATIONAL INSTITUTION; INSTITUTION

6 OF HIGHER EDUCATION; SCHOOL.—The term— 

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

8 school or institution of higher education; 

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

10 the meaning given such term in section 101 of 

11 the Higher Education Act of 1965; and 

12 ‘‘(C) ‘school’ means an elementary or sec13 ondary school (as such terms are defined in sec14 tion 9101 of the Elementary and Secondary 

15 Education Act of 1965). 

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

17 means a strategy or approach that reduces the likeli18 hood or risk of onset, or delays the onset, of adverse 

19 health problems that have been known to lead to sui20 cide. 

21 ‘‘(4) YOUTH.—The term ‘youth’ means individ22 uals who are between 10 and 24 years of age. 

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

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1 ized to be appropriated $35,500,000 for each of the fiscal 

2 years 2016 through 2020.’’. 

3 SEC. 4. MENTAL HEALTH AND SUBSTANCE USE DISORDERS 

4 SERVICES AND OUTREACH ON CAMPUS. 

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

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

7 ‘‘SEC. 520E–2. MENTAL HEALTH AND SUBSTANCE USE DIS8 ORDERS SERVICES ON CAMPUS. 

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

10 the Director of the Center for Mental Health Services and 

11 in consultation with the Secretary of Education, shall 

12 award grants on a competitive basis to institutions of 

13 higher education to enhance services for students with 

14 mental health or substance use disorders and to develop 

15 best practices for the delivery of such services. 

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

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

18 the following activities: 

19 ‘‘(1) The provision of mental health and sub20 stance use disorder services to students, including 

21 prevention, promotion of mental health, voluntary 

22 screening, early intervention, voluntary assessment, 

23 treatment, and management of mental health and 

24 substance abuse disorder issues. 


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

2 students about the existence of mental health and 

3 substance use disorder services. 

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

5 and communities to increase awareness of mental 

6 health and substance use disorders. 

7 ‘‘(4) The employment of appropriately trained 

8 staff, including administrative staff. 

9 ‘‘(5) The provision of training to students, fac10 ulty, and staff to respond effectively to students with 

11 mental health and substance use disorders. 

12 ‘‘(6) The creation of a networking infrastruc13 ture to link colleges and universities with providers 

14 who can treat mental health and substance use dis15 orders. 

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

17 disseminating evidence-based and emerging best 

18 practices. 

19 ‘‘(c) IMPLEMENTATION OF ACTIVITIES USING GRANT

20 FUNDS.—An institution of higher education that receives 

21 a grant under this section may carry out activities under 

22 the grant through— 

23 ‘‘(1) college counseling centers; 

24 ‘‘(2) college and university psychological service 

25 centers; 


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1 ‘‘(3) mental health centers; 

2 ‘‘(4) psychology training clinics; 

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

4 evidence-based, mental health and substance use dis5 order programs; or 

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

7 health and substance use disorder services at an in8 stitution of higher education. 

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

10 under this section, an institution of higher education shall 

11 prepare and submit to the Secretary an application at 

12 such time and in such manner as the Secretary may re13 quire. At a minimum, such application shall include the 

14 following: 

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

16 and substance use disorder needs of students at the 

17 institution of higher education. 

18 ‘‘(2) A description of Federal, State, local, pri19 vate, and institutional resources currently available 

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

21 the institution of higher education. 

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

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1 ing those students most in need of mental health 

2 services. 

3 ‘‘(4) A plan, when applicable, to meet the spe4 cific mental health and substance use disorder needs 

5 of veterans attending institutions of higher edu6 cation. 

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

8 mental health providers, when available, community 

9 groups and other public and private entities in car10 rying out the program under the grant. 

11 ‘‘(6) A plan to evaluate program outcomes, in12 cluding a description of the proposed use of funds, 

13 the program objectives, and how the objectives will 

14 be met. 

15 ‘‘(7) An assurance that the institution will sub16 mit a report to the Secretary each fiscal year con17 cerning the activities carried out with the grant and 

18 the results achieved through those activities. 

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

20 grants under this section, the Secretary shall give special 

21 consideration to applications that describe programs to be 

22 carried out under the grant that— 

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

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1 tios of students to mental health and substance use 

2 disorder health professionals; and 

3 ‘‘(2) demonstrate the greatest potential for rep4 lication. 

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

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

7 grant under this section to an institution of higher 

8 education only if the institution agrees to make 

9 available (directly or through donations from public 

10 or private entities) non-Federal contributions in an 

11 amount that is not less than $1 for each $1 of Fed12 eral funds provided under the grant, toward the 

13 costs of activities carried out with the grant (as de14 scribed in subsection (b)) and other activities by the 

15 institution to reduce student mental health and sub16 stance use disorders. 

17 ‘‘(2) DETERMINATION OF AMOUNT CONTRIB18 UTED.—Non-Federal contributions required under 

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

20 provided by the Federal Government, or services as21 sisted or subsidized to any significant extent by the 

22 Federal Government, may not be included in deter23 mining the amount of such non-Federal contribu24 tions. 


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

2 application of paragraph (1) with respect to an insti3 tution of higher education if the Secretary deter4 mines that extraordinary need at the institution jus5 tifies the waiver. 

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

7 awarded under this section, the Secretary shall conduct 

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

9 Congress a report on such results that includes the fol10 lowing: 

11 ‘‘(1) An evaluation of the grant program out12 comes, including a summary of activities carried out 

13 with the grant and the results achieved through 

14 those activities. 

15 ‘‘(2) Recommendations on how to improve ac16 cess to mental health and substance use disorder 

17 services at institutions of higher education, including 

18 efforts to reduce the incidence of suicide and sub19 stance use disorders. 

20 ‘‘(h) DEFINITIONS.—In this section, the term ‘insti21 tution of higher education’ has the meaning given such 

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

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

24 purpose of carrying out this section, there are authorized 


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1 to be appropriated $7,000,000 for each of the fiscal years 

2 2016 through 2020.’’. 

Æ 


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