II 

117TH CONGRESS 

2D SESSION S. 4271 

To reauthorize the Garrett Lee Smith Memorial Act, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

MAY 19 (legislative day, MAY 17), 2022 

Mr. REED (for himself and Ms. MURKOWSKI) introduced the following bill; 

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

A BILL 

To reauthorize the Garrett Lee Smith Memorial Act, 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 ‘‘Garrett Lee Smith Me5 morial Act Reauthorization of 2022’’. 

6 SEC. 2. REAUTHORIZATION OF PROGRAMS. 

7 (a) SUICIDE PREVENTION RESOURCE CENTER.— 

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

9 290bb–34) is amended— 


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1 (1) in subsection (a), by adding at the end the 

2 following: ‘‘In carrying out this subsection with re3 spect to assistance to entities serving members of 

4 the Armed Forces and veterans, the Secretary shall 

5 collaborate with the Secretary of Defense and the 

6 Secretary of Veterans Affairs.’’; 

7 (2) in subsection (b)(9), by inserting ‘‘and local 

8 educational agencies’’ after ‘‘higher education’’; 

9 (3) in subsection (c), by striking ‘‘$5,988,000 

10 for each of fiscal years 2018 through 2022’’ and in11 serting ‘‘$9,000,000 for each of fiscal years 2023 

12 through 2027’’; and 

13 (4) in subsection (d), by striking ‘‘date of en14 actment of this subsection’’ and inserting ‘‘date of 

15 enactment of the Garrett Lee Smith Memorial Act 

16 Reauthorization of 2022’’. 

17 (b) GARRETT LEE SMITH YOUTH SUICIDE PREVEN18 TION.—Section 520E of the Public Health Service Act (42 

19 U.S.C. 290bb–36) is amended— 

20 (1) in subsection (a)(1), by inserting ‘‘pediatric 

21 health programs,’’ after ‘‘mental health programs,’’; 

22 (2) in subsection (c)— 

23 (A) in paragraphs (1) and (7), by inserting 

24 ‘‘pediatric health programs,’’ after ‘‘mental 

25 health programs,’’ each place it appears; and 


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1 (B) in paragraph (9), by striking ‘‘and 

2 youth organizations’’ and inserting ‘‘youth or3 ganizations, and pediatric health programs’’; 

4 (3) in subsection (e)(3)(A), by striking ‘‘De5 partment of Health and Human Services agencies’’ 

6 and inserting ‘‘agencies of the Department of Health 

7 and Human Services and the Department of Edu8 cation’’; 

9 (4) in subsection (g)(2), by striking ‘‘Helping 

10 Families in Mental Health Crisis Reform Act of 

11 2016’’ and inserting ‘‘the Garrett Lee Smith Memo12 rial Act Reauthorization of 2022’’; and 

13 (5) in subsection (m), by striking ‘‘$30,000,000 

14 for each of fiscal years 2018 through 2022’’ and in15 serting ‘‘$50,000,000 for each of fiscal years 2023 

16 through 2027’’. 

17 (c) MENTAL HEALTH AND SUBSTANCE USE DIS18 ORDER SERVICES ON CAMPUS.—Section 520E–2 of the 

19 Public Health Service Act (42 U.S.C. 290bb–36b) is 

20 amended— 

21 (1) in subsection (b)— 

22 (A) in paragraph (1)— 

23 (i) by inserting ‘‘and providing resil24 iency training for’’ after ‘‘Educating’’; and 


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1 (ii) by inserting ‘‘health’’ after ‘‘men2 tal’’; 

3 (B) in paragraph (3), by inserting ‘‘on 

4 mental health services’’ before the period; 

5 (C) in paragraph (4), by striking ‘‘and 

6 substance use disorder’’ and inserting ‘‘health 

7 and substance use disorder resources and’’; 

8 (D) in each of paragraphs (5), (7), and 

9 (8), by inserting ‘‘health’’ after ‘‘mental’’; 

10 (E) by amending paragraph (6) to read as 

11 follows: 

12 ‘‘(6) Supporting the training of, and providing 

13 resources to, students, faculty, and staff to recognize 

14 and respond effectively and appropriately to students 

15 experiencing mental health and substance use dis16 orders.’’; 

17 (F) in paragraph (9)— 

18 (i) by inserting ‘‘, including com19 prehensive needs assessments and evalua20 tion of services,’’ after ‘‘Conducting re21 search’’; 

22 (ii) by striking ‘‘regarding improving’’ 

23 and inserting ‘‘to improve’’; and 

24 (iii) by inserting ‘‘promotion of mental 

25 health and wellness,’’ after ‘‘prevention,’’; 


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1 (G) in paragraph (10)— 

2 (i) by inserting ‘‘and school- or stu3 dent-run extracurricular groups’’ after 

4 ‘‘athletic teams’’; and 

5 (ii) by striking ‘‘disorders, and pro6 mote mental health’’ and inserting ‘‘health 

7 disorders, and promote mental health and 

8 wellness’’; 

9 (H) in paragraph (11), by striking ‘‘staff’’ 

10 and inserting ‘‘college and university wellness 

11 or behavioral health center staff, which may in12 clude interns, residents, or fellows in a mental 

13 health field who have not yet been licensed or 

14 certified, but can provide care as part of their 

15 training under the supervision of a licensed in16 dividual or certified professional’’; and 

17 (I) in paragraph (12), by inserting ‘‘, trau18 ma-informed practices, student peer support 

19 programs, and post-vention planning’’ before 

20 the period; 

21 (2) in subsection (c)— 

22 (A) in paragraph (2), by striking ‘‘psycho23 logical service centers’’ and inserting ‘‘wellness 

24 or behavioral health centers, including medical 

25 sites that deliver behavioral health care’’; 


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1 (B) in paragraph (3), by inserting ‘‘and 

2 substance use disorder’’ after ‘‘health’’; and 

3 (C) in paragraph (4), by striking ‘‘psy4 chology’’ and inserting ‘‘mental health’’; 

5 (3) in subsection (d)— 

6 (A) in paragraph (1), by inserting ‘‘health’’ 

7 after ‘‘mental’’; and 

8 (B) in paragraph (3), by inserting ‘‘mental 

9 health and wellness, and’’ after ‘‘for pro10 moting’’; 

11 (4) in subsection (e), by amending paragraph 

12 (3) to read as follows: 

13 ‘‘(3) WAIVERS.—The Secretary— 

14 ‘‘(A) shall waive the requirement under 

15 paragraph (1) with respect to— 

16 ‘‘(i) minority-serving institutions de17 scribed in sections 371(a) and 326(e)(1) of 

18 the Higher Education Act of 1965; and 

19 ‘‘(ii) community colleges, defined as 

20 public institutions of higher education, as 

21 described in section 101(a) of the Higher 

22 Education Act of 1965 and at which the 

23 associate’s degree is primarily the highest 

24 degree awarded; and 


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1 ‘‘(B) may waive such requirement with re2 spect to an institution of higher education not 

3 described in subparagraph (A) if the Secretary 

4 determines that extraordinary need at the insti5 tution justifies the waiver.’’; 

6 (5) in subsection (f)— 

7 (A) in paragraph (2)— 

8 (i) by inserting ‘‘comprehensive, sus9 tainable, and evidence-based’’ after ‘‘im10 prove access to’’; and 

11 (ii) by inserting ‘‘through prevention, 

12 early detection, early intervention, and’’ 

13 after ‘‘including’’; and 

14 (B) by adding at the end the following: 

15 ‘‘(3) An assessment of the continued mental 

16 health and substance use disorder needs of the 

17 grantees.’’; and 

18 (6) in subsection (i), by striking ‘‘$7,000,000 

19 for each of fiscal years 2018 through 2022’’ and in20 serting ‘‘$12,000,000 for each of fiscal years 2023 

21 through 2027’’. 

Æ 


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