II 

117TH CONGRESS 

1ST SESSION S. 2425 

To amend the Public Health Service Act to ensure the provision of highquality service through the Suicide Prevention Lifeline, and for other 

purposes. 

IN THE SENATE OF THE UNITED STATES 

JULY 21, 2021 

Mr. REED (for himself and Mr. MORAN) introduced the following bill; which 

was read twice and referred to the Committee on Health, Education, 

Labor, and Pensions 

A BILL 

To amend the Public Health Service Act to ensure the provision of high-quality service through the Suicide Prevention Lifeline, and for other purposes. 

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 Prevention 

5 Lifeline Improvement Act of 2021’’. 

6 SEC. 2. SUICIDE PREVENTION LIFELINE. 

7 (a) PLAN.—Section 520E–3 of the Public Health 

8 Service Act (42 U.S.C. 290bb–36c) is amended— 


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1 (1) by redesignating subsection (c) as sub2 section (e); and 

3 (2) by inserting after subsection (b) the fol4 lowing: 

5 ‘‘(c) PLAN.— 

6 ‘‘(1) IN GENERAL.—For purposes of maintain7 ing the suicide prevention hotline under subsection 

8 (b)(2), the Secretary shall develop and implement a 

9 plan to ensure the provision of high-quality service. 

10 ‘‘(2) CONTENTS.—The plan required by para11 graph (1) shall include the following: 

12 ‘‘(A) Quality assurance provisions, includ13 ing— 

14 ‘‘(i) clearly defined and measurable 

15 performance indicators and objectives to 

16 improve the responsiveness and perform17 ance of the hotline, including at backup 

18 call centers; and 

19 ‘‘(ii) quantifiable timeframes to track 

20 the progress of the hotline in meeting such 

21 performance indicators and objectives. 

22 ‘‘(B) Standards that crisis centers and 

23 backup centers must meet— 

24 ‘‘(i) to participate in the network 

25 under subsection (b)(1); and 


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1 ‘‘(ii) to ensure that each telephone 

2 call, online chat message, and other com3 munication received by the hotline, includ4 ing at backup call centers, is answered in 

5 a timely manner by a person, consistent 

6 with the guidance established by the Amer7 ican Association of Suicidology or other 

8 guidance determined by the Secretary to be 

9 appropriate. 

10 ‘‘(C) Guidelines for crisis centers and 

11 backup centers to implement evidence-based 

12 practices including with respect to followup and 

13 referral to other health and social services re14 sources. 

15 ‘‘(D) Guidelines to ensure that resources 

16 are available and distributed to individuals 

17 using the hotline who are not personally in a 

18 time of crisis but know of someone who is. 

19 ‘‘(E) Guidelines to carry out periodic test20 ing of the hotline, including at crisis centers 

21 and backup centers, during each fiscal year to 

22 identify and correct any problems in a timely 

23 manner. 

24 ‘‘(F) Guidelines to operate in consultation 

25 with the State department of health, local govVerDate Sep 11 2014 21:27 Jul 22, 2021 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S2425.IS S2425

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1 ernments, Indian tribes, and tribal organiza2 tions. 

3 ‘‘(3) INITIAL PLAN; UPDATES.—The Secretary 

4 shall— 

5 ‘‘(A) not later than 6 months after the 

6 date of enactment of the Suicide Prevention 

7 Lifeline Improvement Act of 2021, complete de8 velopment of the initial version of the plan re9 quired by paragraph (1), begin implementation 

10 of such plan, and make such plan publicly avail11 able; and 

12 ‘‘(B) periodically thereafter, update such 

13 plan and make the updated plan publicly avail14 able.’’. 

15 (b) TRANSMISSION OF DATA TO CDC.—Section 

16 520E–3 of the Public Health Service Act (42 U.S.C. 

17 290bb–36c) is amended by inserting after subsection (c) 

18 of such section, as added by subsection (a) of this section, 

19 the following: 

20 ‘‘(d) TRANSMISSION OF DATA TO CDC.—The Sec21 retary shall formalize and strengthen agreements between 

22 the National Suicide Prevention Lifeline program and the 

23 Centers for Disease Control and Prevention to transmit 

24 any necessary epidemiological data from the program to 

25 the Centers for Disease Control and Prevention, including 


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1 local call center data, to assist the Centers in suicide pre2 vention efforts.’’. 

3 (c) AUTHORIZATION OF APPROPRIATIONS.—Sub4 section (e) of section 520E–3 of the Public Health Service 

5 Act (42 U.S.C. 290bb–36c) is amended to read as follows: 

6 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.— 

7 ‘‘(1) IN GENERAL.—To carry out this section, 

8 there are authorized to be appropriated 

9 $113,600,000 for each of fiscal years 2022 through 

10 2024. 

11 ‘‘(2) ALLOCATION.—Of the amount authorized 

12 to be appropriated by paragraph (1) for each of fis13 cal years 2022 through 2024, at least 80 percent 

14 shall be made available to crisis centers.’’. 

15 SEC. 3. PILOT PROGRAM ON INNOVATIVE TECHNOLOGIES. 

16 (a) PILOT PROGRAM.— 

17 (1) IN GENERAL.—The Secretary of Health and 

18 Human Services, acting through the Assistant Sec19 retary for Mental Health and Substance Use, shall 

20 carry out a pilot program to research, analyze, and 

21 employ various technologies and platforms of com22 munication (including social media platforms, 

23 texting platforms, and email platforms) for suicide 

24 prevention in addition to the telephone and online 


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1 chat service provided by the Suicide Prevention Life2 line. 

3 (2) AUTHORIZATION OF APPROPRIATIONS.—To 

4 carry out paragraph (1), there is authorized to be 

5 appropriated $5,000,000 for the period of fiscal 

6 years 2022 and 2023. 

7 (b) REPORT.—Not later than 2 years after the date 

8 on which the pilot program under subsection (a) com9 mences, the Secretary of Health and Human Services, act10 ing through the Assistant Secretary for Mental Health 

11 and Substance Use, shall submit to Congress a report on 

12 the pilot program. With respect to each platform of com13 munication employed pursuant to the pilot program, the 

14 report shall include— 

15 (1) a full description of the program; 

16 (2) the number of individuals served by the pro17 gram; 

18 (3) the average wait time for each individual to 

19 receive a response; 

20 (4) the cost of the program, including the cost 

21 per individual served; and 

22 (5) any other information the Secretary deter23 mines appropriate. 


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1 SEC. 4. HHS STUDY AND REPORT. 

2 Not later than 2 years after the Secretary of Health 

3 and Human Services begins implementation of the plan 

4 required by section 520E–3(c) of the Public Health Serv5 ice Act, as added by section 2(a)(2) of this Act, the Sec6 retary shall— 

7 (1) complete a study on— 

8 (A) the implementation of such plan, in9 cluding the progress towards meeting the objec10 tives identified pursuant to paragraph (2)(A)(i) 

11 of such section 520E–3(c) by the timeframes 

12 identified pursuant to paragraph (2)(A)(ii) of 

13 such section 520E–3(c); and 

14 (B) in consultation with the Director of 

15 the Centers for Disease Control and Prevention, 

16 options to expand data gathering from calls to 

17 the Suicide Prevention Lifeline in order to bet18 ter track aspects of usage such as repeat calls, 

19 consistent with applicable Federal and State 

20 privacy laws; and 

21 (2) submit a report to Congress on the results 

22 of such study, including recommendations on wheth23 er additional legislation or appropriations are need24 ed. 


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1 SEC. 5. GAO STUDY AND REPORT. 

2 (a) IN GENERAL.—Not later than 2 years after the 

3 Secretary of Health and Human Services begins imple4 mentation of the plan required by section 520E–3(c) of 

5 the Public Health Service Act, as added by section 2(a)(2) 

6 of this Act, the Comptroller General of the United States 

7 shall— 

8 (1) complete a study on the Suicide Prevention 

9 Lifeline; and 

10 (2) submit a report to Congress on the results 

11 of such study. 

12 (b) ISSUES TO BE STUDIED.—The study required by 

13 subsection (a) shall address— 

14 (1) the feasibility of geolocating callers to direct 

15 calls to the nearest crisis center; 

16 (2) operation shortcomings of the Suicide Pre17 vention Lifeline; 

18 (3) geographic coverage of each crisis call cen19 ter; 

20 (4) the call answer rate of each crisis call cen21 ter; 

22 (5) the call wait time of each crisis call center; 

23 (6) the hours of operation of each crisis call 

24 center; 

25 (7) funding avenues of each crisis call center; 


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1 (8) the implementation of the plan under sec2 tion 520E–3(c) of the Public Health Service Act, as 

3 added by section 2(a) of this Act, including the 

4 progress towards meeting the objectives identified 

5 pursuant to paragraph (2)(A)(i) of such section 

6 520E–3(c) by the timeframes identified pursuant to 

7 paragraph (2)(A)(ii) of such section 520E–3(c); and 

8 (9) service to individuals requesting a foreign 

9 language speaker, including— 

10 (A) the number of calls or chats the Life11 line receives from individuals speaking a foreign 

12 language; 

13 (B) the capacity of the Lifeline to handle 

14 these calls or chats; and 

15 (C) the number of crisis centers with the 

16 capacity to serve foreign language speakers, in 

17 house. 

18 (c) RECOMMENDATIONS.—The report required by 

19 subsection (a) shall include recommendations for improv20 ing the Suicide Prevention Lifeline, including rec21 ommendations for legislative and administrative actions. 

22 SEC. 6. DEFINITION. 

23 In this Act, the term ‘‘Suicide Prevention Lifeline’’ 

24 means the suicide prevention hotline maintained pursuant 


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1 to section 520E–3 of the Public Health Service Act (42 

2 U.S.C. 290bb–36c). 

Æ 


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