```

[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 2634 Enrolled Bill (ENR)]

        S.2634

                       One Hundred Eighth Congress

                                 of the

                        United States of America

                          AT THE SECOND SESSION

          Begun and held at the City of Washington on Tuesday,
           the twentieth day of January, two thousand and four

                                 An Act

 
    To amend the Public Health Service Act to support the planning, 
    implementation, and evaluation of organized activities involving 
statewide youth suicide early intervention and prevention strategies, to 
 authorize grants to institutions of higher education to reduce student 
     mental and behavioral health problems, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Garrett Lee Smith Memorial Act''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
        (1) More children and young adults die from suicide each year 
    than from cancer, heart disease, AIDS, birth defects, stroke, and 
    chronic lung disease combined.
        (2) Over 4,000 children and young adults tragically take their 
    lives every year, making suicide the third overall cause of death 
    between the ages of 10 and 24. According to the Centers for Disease 
    Control and Prevention, suicide is the third overall cause of death 
    among college-age students.
        (3) According to the National Center for Injury Prevention and 
    Control of the Centers for Disease Control and Prevention, children 
    and young adults accounted for 15 percent of all suicides completed 
    in 2000.
        (4) From 1952 to 1995, the rate of suicide in children and 
    young adults tripled.
        (5) From 1980 to 1997, the rate of suicide among young adults 
    ages 15 to 19 increased 11 percent.
        (6) From 1980 to 1997, the rate of suicide among children ages 
    10 to 14 increased 109 percent.
        (7) According to the National Center of Health Statistics, 
    suicide rates among Native Americans range from 1.5 to 3 times the 
    national average for other groups, with young people ages 15 to 34 
    making up 64 percent of all suicides.
        (8) Congress has recognized that youth suicide is a public 
    health tragedy linked to underlying mental health problems and that 
    youth suicide early intervention and prevention activities are 
    national priorities.
        (9) Youth suicide early intervention and prevention have been 
    listed as urgent public health priorities by the President's New 
    Freedom Commission in Mental Health (2002), the Institute of 
    Medicine's Reducing Suicide: A National Imperative (2002), the 
    National Strategy for Suicide Prevention: Goals and Objectives for 
    Action (2001), and the Surgeon General's Call to Action To Prevent 
    Suicide (1999).
        (10) Many States have already developed comprehensive statewide 
    youth suicide early intervention and prevention strategies that 
    seek to provide effective early intervention and prevention 
    services.
        (11) In a recent report, a startling 85 percent of college 
    counseling centers revealed an increase in the number of students 
    they see with psychological problems. Furthermore, the American 
    College Health Association found that 61 percent of college 
    students reported feeling hopeless, 45 percent said they felt so 
    depressed they could barely function, and 9 percent felt suicidal.
        (12) There is clear evidence of an increased incidence of 
    depression among college students. According to a survey described 
    in the Chronicle of Higher Education (February 1, 2002), depression 
    among freshmen has nearly doubled (from 8.2 percent to 16.3 
    percent). Without treatment, researchers recently noted that 
    ``depressed adolescents are at risk for school failure, social 
    isolation, promiscuity, self-medication with drugs and alcohol, and 
    suicide--now the third leading cause of death among 10-24 year 
    olds.''.
        (13) Researchers who conducted the study ``Changes in 
    Counseling Center Client Problems Across 13 Years'' (1989-2001) at 
    Kansas State University stated that ``students are experiencing 
    more stress, more anxiety, more depression than they were a decade 
    ago.'' (The Chronicle of Higher Education, February 14, 2003).
        (14) According to the 2001 National Household Survey on Drug 
    Abuse, 20 percent of full-time undergraduate college students use 
    illicit drugs.
        (15) The 2001 National Household Survey on Drug Abuse also 
    reported that 18.4 percent of adults aged 18 to 24 are dependent on 
    or abusing illicit drugs or alcohol. In addition, the study found 
    that ``serious mental illness is highly correlated with substance 
    dependence or abuse. Among adults with serious mental illness in 
    2001, 20.3 percent were dependent on or abused alcohol or illicit 
    drugs, while the rate among adults without serious mental illness 
    was only 6.3 percent.''.
        (16) A 2003 Gallagher's Survey of Counseling Center Directors 
    found that 81 percent were concerned about the increasing number of 
    students with more serious psychological problems, 67 percent 
    reported a need for more psychiatric services, and 63 percent 
    reported problems with growing demand for services without an 
    appropriate increase in resources.
        (17) The International Association of Counseling Services 
    accreditation standards recommend 1 counselor per 1,000 to 1,500 
    students. According to the 2003 Gallagher's Survey of Counseling 
    Center Directors, the ratio of counselors to students is as high as 
    1 counselor per 2,400 students at institutions of higher education 
    with more than 15,000 students.
SEC. 3. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT.
    (a) Youth Interagency Research, Training, and Technical Assistance 
Centers.--Section 520C of the Public Health Service Act (42 U.S.C. 
290bb-34) is amended--
        (1) in subsection (a)--
            (A) by striking ``Health, shall award grants'' and 
        inserting ``Health--
        ``(1) shall award grants'';
            (B) by striking the period at the end and inserting ``; 
        and''; and
            (C) by adding at the end the following:
        ``(2) shall award a competitive grant to 1 additional research, 
    training, and technical assistance center to carry out the 
    activities described in subsection (d).'';
        (2) in subsection (c), in the matter preceding paragraph (1), 
    by striking ``grant or contract under subsection (a)'' and 
    inserting ``grant or contract under subsection (a)(1)'';
        (3) in subsection (d)--
            (A) by striking ``Appropriations.--For the purpose of 
        carrying out this section'' and inserting ``Appropriations.--
        ``(1) For the purpose of awarding grants or contracts under 
    subsection (a)(1)''; and
            (B) by adding at the end the following:
        ``(2) For the purpose of awarding a grant under subsection 
    (a)(2), there are authorized to be appropriated $3,000,000 for 
    fiscal year 2005, $4,000,000 for fiscal year 2006, and $5,000,000 
    for fiscal year 2007.'';
        (4) by redesignating subsection (d) as subsection (e); and
        (5) by inserting after subsection (c) the following:
    ``(d) Additional Center.--The additional research, training, and 
technical assistance center established under subsection (a)(2) shall 
provide appropriate information, training, and technical assistance to 
States, political subdivisions of a State, Federally recognized Indian 
tribes, tribal organizations, institutions of higher education, public 
organizations, or private nonprofit organizations for--
        ``(1) the development or continuation of statewide or tribal 
    youth suicide early intervention and prevention strategies;
        ``(2) ensuring the surveillance of youth suicide early 
    intervention and prevention strategies;
        ``(3) studying the costs and effectiveness of statewide youth 
    suicide early intervention and prevention strategies in order to 
    provide information concerning relevant issues of importance to 
    State, tribal, and national policymakers;
        ``(4) further identifying and understanding causes and 
    associated risk factors for youth suicide;
        ``(5) analyzing the efficacy of new and existing youth suicide 
    early intervention techniques and technology;
        ``(6) ensuring the surveillance of suicidal behaviors and 
    nonfatal suicidal attempts;
        ``(7) studying the effectiveness of State-sponsored statewide 
    and tribal youth suicide early intervention and prevention 
    strategies on the overall wellness and health promotion strategies 
    related to suicide attempts;
        ``(8) promoting the sharing of data regarding youth suicide 
    with Federal agencies involved with youth suicide early 
    intervention and prevention, and State-sponsored statewide or 
    tribal youth suicide early intervention and prevention strategies 
    for the purpose of identifying previously unknown mental health 
    causes and associated risk factors for suicide in youth;
        ``(9) evaluating and disseminating outcomes and best practices 
    of mental and behavioral health services at institutions of higher 
    education; and
        ``(10) other activities determined appropriate by the 
    Secretary.''.
    (b) Suicide Prevention for Youth.--Title V of the Public Health 
Service Act (42 U.S.C. 290aa et seq.) is amended--
        (1) in section 520E (42 U.S.C. 290bb-36)--
            (A) in the section heading by striking ``CHILDREN AND 
        ADOLESCENTS'' and inserting ``YOUTH'';
            (B) by striking subsection (a) and inserting the following:
    ``(a) In General.--The Secretary shall award grants or
cooperative agreements to public organizations, private nonprofit 
organizations, political subdivisions, consortia of political 
subdivisions, consortia of States, or Federally recognized Indian 
tribes or tribal organizations to design early intervention and 
prevention strategies that will complement the State-sponsored 
statewide or tribal youth suicide early intervention and prevention 
strategies developed pursuant to section 520E.'';
            (C) in subsection (b), by striking all after 
        ``coordinated'' and inserting ``with the relevant Department of 
        Health and Human Services agencies and suicide working 
        groups.'';
            (D) in subsection (c)--
                (i) in the matter preceding paragraph (1), by striking 
            ``A State'' and all that follows through ``desiring'' and 
            inserting ``A public organization, private nonprofit 
            organization, political subdivision, consortium of 
            political subdivisions, consortium of States, or federally 
            recognized Indian tribe or tribal organization desiring'';
                (ii) by redesignating paragraphs (1) through (9) as 
            paragraphs (2) through (10), respectively;
                (iii) by inserting before paragraph (2) (as so 
            redesignated) the following:
        ``(1)(A) comply with the State-sponsored statewide early 
    intervention and prevention strategy as developed under section 
    520E; and
        ``(B) in the case of a consortium of States, receive the 
    support of all States involved;'';
                (iv) in paragraph (2) (as so redesignated), by striking 
            ``children and adolescents'' and inserting ``youth'';
                (v) in paragraph (3) (as so redesignated), by striking 
            ``best evidence-based,'';
                (vi) in paragraph (4) (as so redesignated), by striking 
            ``primary'' and all that follows and inserting ``general, 
            mental, and behavioral health services, and substance abuse 
            services;'';
                (vii) in paragraph (5) (as so redesignated), by 
            striking ``children and'' and all that follows and 
            inserting ``youth including the school systems, educational 
            institutions, juvenile justice system, substance abuse 
            programs, mental health programs, foster care systems, and 
            community child and youth support organizations;'';
                (viii) by striking paragraph (8) (as so redesignated) 
            and inserting the following:
        ``(8) offer access to services and care to youth with diverse 
    linguistic and cultural backgrounds;''; and
                (ix) by striking paragraph (9) (as so redesignated) and 
            inserting the following:
        ``(9) conduct annual self-evaluations of outcomes and 
    activities, including consulting with interested families and 
    advocacy organizations;'';
            (E) by striking subsection (d) and inserting the following:
    ``(d) Use of Funds.--Amounts provided under a grant or cooperative 
agreement under this section shall be used to supplement, and not 
supplant, Federal and non-Federal funds available for carrying out the 
activities described in this section. Applicants shall provide 
financial information to demonstrate compliance with this section.'';
            (F) in subsection (e)--
                (i) by striking ``, contract,''; and
                (ii) by inserting after ``Secretary that the'' the 
            following: ``application complies with the State-sponsored 
            statewide early intervention and prevention strategy as 
            developed under section 520E and the'';
            (G) in subsection (f), by striking ``, contracts,'';
            (H) in subsection (g)--
                (i) by striking ``A State'' and all that follows 
            through ``organization receiving'' and inserting ``A public 
            organization, private nonprofit organization, political 
            subdivision, consortium of political subdivisions, 
            consortium of States, or Federally recognized Indian tribe 
            or tribal organization receiving''; and
                (ii) by striking ``, contract,'' each place such term 
            appears;
            (I) in subsection (h), by striking ``, contracts,'';
            (J) in subsection (i)--
                (i) by striking ``A State'' and all that follows 
            through ``organization receiving'' and inserting ``A public 
            organization, private nonprofit organization, political 
            subdivision, consortium of political subdivisions, 
            consortium of States, or Federally recognized Indian tribe 
            or tribal organization receiving''; and
                (ii) by striking ``, contract,'';
            (K) in subsection (k), by striking ``5 years'' and 
        inserting ``3 years'';
            (L) in subsection (l)--
                (i) in paragraph (2), by striking ``21'' and inserting 
            ``24''; and
                (ii) in paragraph (3), by striking ``which might have 
            been'';
            (M) in subsection (m)--
                (i) by striking ``Appropriation.--'' and all that 
            follows through ``For'' in paragraph (1) and inserting 
            ``Appropriation.--For''; and
                (ii) by striking paragraph (2);
            (N) by redesignating subsection (m) as subsection (n); and
            (O) by inserting after subsection (l) the following:
    ``(m) Definitions.--In this section, the terms `early 
intervention', `educational institution', `institution of higher 
education', `prevention', `school', and `youth' have the meanings given 
to those terms in section 520E.''; and
        (2) by redesignating section 520E as section 520E-1.
    (c) Youth Suicide and Early Intervention and Prevention 
Strategies.--Title V of the Public Health Service Act (42 U.S.C. 290aa 
et seq.) is amended by inserting before section 520E-1 (as redesignated 
by subsection (b)) the following:
``SEC. 520E. YOUTH SUICIDE EARLY INTERVENTION AND PREVENTION 
STRATEGIES.
    ``(a) In General.--The Secretary, acting through the Administrator 
of the Substance Abuse and Mental Health Services
Administration, shall award grants or cooperative agreements to 
eligible entities to--
        ``(1) develop and implement State-sponsored statewide or tribal 
    youth suicide early intervention and prevention strategies in 
    schools, educational institutions, juvenile justice systems, 
    substance abuse programs, mental health programs, foster care 
    systems, and other child and youth support organizations;
        ``(2) support public organizations and private nonprofit 
    organizations actively involved in State-sponsored statewide or 
    tribal youth suicide early intervention and prevention strategies 
    and in the development and continuation of State-sponsored 
    statewide youth suicide early intervention and prevention 
    strategies;
        ``(3) provide grants to institutions of higher education to 
    coordinate the implementation of State-sponsored statewide or 
    tribal youth suicide early intervention and prevention strategies;
        ``(4) collect and analyze data on State-sponsored statewide or 
    tribal youth suicide early intervention and prevention services 
    that can be used to monitor the effectiveness of such services and 
    for research, technical assistance, and policy development; and
        ``(5) assist eligible entities, through State-sponsored 
    statewide or tribal youth suicide early intervention and prevention 
    strategies, in achieving targets for youth suicide reductions under 
    title V of the Social Security Act.
    ``(b) Eligible Entity.--
        ``(1) Definition.--In this section, the term `eligible entity' 
    means--
            ``(A) a State;
            ``(B) a public organization or private nonprofit 
        organization designated by a State to develop or direct the 
        State-sponsored statewide youth suicide early intervention and 
        prevention strategy; or
            ``(C) a Federally recognized Indian tribe or tribal 
        organization (as defined in the Indian Self-Determination and 
        Education Assistance Act) or an urban Indian organization (as 
        defined in the Indian Health Care Improvement Act) that is 
        actively involved in the development and continuation of a 
        tribal youth suicide early intervention and prevention 
        strategy.
        ``(2) Limitation.--In carrying out this section, the Secretary 
    shall ensure that each State is awarded only 1 grant or cooperative 
    agreement under this section. For purposes of the preceding 
    sentence, a State shall be considered to have been awarded a grant 
    or cooperative agreement if the eligible entity involved is the 
    State or an entity designated by the State under paragraph (1)(B). 
    Nothing in this paragraph shall be construed to apply to entities 
    described in paragraph (1)(C).
    ``(c) Preference.--In providing assistance under a grant or 
cooperative agreement under this section, an eligible entity shall give 
preference to public organizations, private nonprofit organizations, 
political subdivisions, institutions of higher education, and tribal 
organizations actively involved with the State-sponsored statewide or 
tribal youth suicide early intervention and prevention strategy that--
        ``(1) provide early intervention and assessment services, 
    including screening programs, to youth who are at risk for mental 
    or emotional disorders that may lead to a suicide attempt, and that 
    are integrated with school systems, educational institutions, 
    juvenile justice systems, substance abuse programs, mental health 
    programs, foster care systems, and other child and youth support 
    organizations;
        ``(2) demonstrate collaboration among early intervention and 
    prevention services or certify that entities will engage in future 
    collaboration;
        ``(3) employ or include in their applications a commitment to 
    evaluate youth suicide early intervention and prevention practices 
    and strategies adapted to the local community;
        ``(4) provide timely referrals for appropriate community-based 
    mental health care and treatment of youth who are at risk for 
    suicide in child-serving settings and agencies;
        ``(5) provide immediate support and information resources to 
    families of youth who are at risk for suicide;
        ``(6) offer access to services and care to youth with diverse 
    linguistic and cultural backgrounds;
        ``(7) offer appropriate postsuicide intervention services, 
    care, and information to families, friends, schools, educational 
    institutions, juvenile justice systems, substance abuse programs, 
    mental health programs, foster care systems, and other child and 
    youth support organizations of youth who recently completed 
    suicide;
        ``(8) offer continuous and up-to-date information and awareness 
    campaigns that target parents, family members, child care 
    professionals, community care providers, and the general public and 
    highlight the risk factors associated with youth suicide and the 
    life-saving help and care available from early intervention and 
    prevention services;
        ``(9) ensure that information and awareness campaigns on youth 
    suicide risk factors, and early intervention and prevention 
    services, use effective communication mechanisms that are targeted 
    to and reach youth, families, schools, educational institutions, 
    and youth organizations;
        ``(10) provide a timely response system to ensure that child-
    serving professionals and providers are properly trained in youth 
    suicide early intervention and prevention strategies and that 
    child-serving professionals and providers involved in early 
    intervention and prevention services are properly trained in 
    effectively identifying youth who are at risk for suicide;
        ``(11) provide continuous training activities for child care 
    professionals and community care providers on the latest youth 
    suicide early intervention and prevention services practices and 
    strategies;
        ``(12) conduct annual self-evaluations of outcomes and 
    activities, including consulting with interested families and 
    advocacy organizations;
        ``(13) provide services in areas or regions with rates of youth 
    suicide that exceed the national average as determined by the 
    Centers for Disease Control and Prevention; and
        ``(14) obtain informed written consent from a parent or legal 
    guardian of an at-risk child before involving the child in a youth 
    suicide early intervention and prevention program.
    ``(d) Requirement for Direct Services.--Not less than 85 percent of 
grant funds received under this section shall be used to provide direct 
services, of which not less than 5 percent shall be used for activities 
authorized under subsection (a)(3).
    ``(e) Coordination and Collaboration.--
        ``(1) In general.--In carrying out this section, the Secretary 
    shall collaborate with relevant Federal agencies and suicide 
    working groups responsible for early intervention and prevention 
    services relating to youth suicide.
        ``(2) Consultation.--In carrying out this section, the 
    Secretary shall consult with--
            ``(A) State and local agencies, including agencies 
        responsible for early intervention and prevention services 
        under title XIX of the Social Security Act, the State 
        Children's Health Insurance Program under title XXI of the 
        Social Security Act, and programs funded by grants under title 
        V of the Social Security Act;
            ``(B) local and national organizations that serve youth at 
        risk for suicide and their families;
            ``(C) relevant national medical and other health and 
        education specialty organizations;
            ``(D) youth who are at risk for suicide, who have survived 
        suicide attempts, or who are currently receiving care from 
        early intervention services;
            ``(E) families and friends of youth who are at risk for 
        suicide, who have survived suicide attempts, who are currently 
        receiving care from early intervention and prevention services, 
        or who have completed suicide;
            ``(F) qualified professionals who possess the specialized 
        knowledge, skills, experience, and relevant attributes needed 
        to serve youth at risk for suicide and their families; and
            ``(G) third-party payers, managed care organizations, and 
        related commercial industries.
        ``(3) Policy development.--In carrying out this section, the 
    Secretary shall--
            ``(A) coordinate and collaborate on policy development at 
        the Federal level with the relevant Department of Health and 
        Human Services agencies and suicide working groups; and
            ``(B) consult on policy development at the Federal level 
        with the private sector, including consumer, medical, suicide 
        prevention advocacy groups, and other health and education 
        professional-based organizations, with respect to State-
        sponsored statewide or tribal youth suicide early intervention 
        and prevention strategies.
    ``(f) Rule of Construction; Religious and Moral Accommodation.--
Nothing in this section shall be construed to require suicide 
assessment, early intervention, or treatment services for youth whose 
parents or legal guardians object based on the parents' or legal 
guardians' religious beliefs or moral objections.
    ``(g) Evaluations and Report.--
        ``(1) Evaluations by eligible entities.--Not later than 18 
    months after receiving a grant or cooperative agreement under this 
    section, an eligible entity shall submit to the Secretary the 
    results of an evaluation to be conducted by the entity concerning 
    the effectiveness of the activities carried out under the grant or 
    agreement.
        ``(2) Report.--Not later than 2 years after the date of 
    enactment of this section, the Secretary shall submit to the 
    appropriate committees of Congress a report concerning the results 
    of--
            ``(A) the evaluations conducted under paragraph (1); and
            ``(B) an evaluation conducted by the Secretary to analyze 
        the effectiveness and efficacy of the activities conducted with 
        grants, collaborations, and consultations under this section.
    ``(h) Rule of Construction; Student Medication.--Nothing in this 
section or section 520E-1 shall be construed to allow school personnel 
to require that a student obtain any medication as a condition of 
attending school or receiving services.
    ``(i) Prohibition.--Funds appropriated to carry out this section, 
section 520C, section 520E-1, or section 520E-2 shall not be used to 
pay for or refer for abortion.
    ``(j) Parental consent.--States and entities receiving funding 
under this section and section 520E-1 shall obtain prior written, 
informed consent from the child's parent or legal guardian for 
assessment services, school-sponsored programs, and treatment involving 
medication related to youth suicide conducted in elementary and 
secondary schools. The requirement of the preceding sentence does not 
apply in the following cases:
        ``(1) In an emergency, where it is necessary to protect the 
    immediate health and safety of the student or other students.
        ``(2) Other instances, as defined by the State, where parental 
    consent cannot reasonably be obtained.
    ``(k) Relation to Education Provisions.--Nothing in this section or 
section 520E-1 shall be construed to supersede section 444 of the 
General Education Provisions Act, including the requirement of prior 
parental consent for the disclosure of any education records. Nothing 
in this section or section 520E-1 shall be construed to modify or 
affect parental notification requirements for programs authorized under 
the Elementary and Secondary Education Act of 1965 (as amended by the 
No Child Left Behind Act of 2001; Public Law 107-110).
    ``(l) Definitions.--In this section:
        ``(1) Early intervention.--The term `early intervention' means 
    a strategy or approach that is intended to prevent an outcome or to 
    alter the course of an existing condition.
        ``(2) Educational institution; institution of higher education; 
    school.--The term--
            ``(A) `educational institution' means a school or 
        institution of higher education;
            ``(B) `institution of higher education' has the meaning 
        given such term in section 101 of the Higher Education Act of 
        1965; and
            ``(C) `school' means an elementary or secondary school (as 
        such terms are defined in section 9101 of the Elementary and 
        Secondary Education Act of 1965).
        ``(3) Prevention.--The term `prevention' means a strategy or 
    approach that reduces the likelihood or risk of onset, or delays 
    the onset, of adverse health problems that have been known to lead 
    to suicide.
        ``(4) Youth.--The term `youth' means individuals who are 
    between 10 and 24 years of age.
    ``(m) Authorization of Appropriations.--
        ``(1) In general.--For the purpose of carrying out this 
    section, there are authorized to be appropriated $7,000,000 for 
    fiscal year 2005, $18,000,000 for fiscal year 2006, and $30,000,000 
    for fiscal year 2007.
        ``(2) Preference.--If less than $3,500,000 is appropriated for 
    any fiscal year to carry out this section, in awarding grants and 
    cooperative agreements under this section during the fiscal year, 
    the Secretary shall give preference to States that have rates of 
    suicide that significantly exceed the national average as 
    determined by the Centers for Disease Control and Prevention.''.
    (d) Mental and Behavioral Health Services on Campus.--Title V of 
the Public Health Service Act (42 U.S.C. 290aa et seq.) is amended by 
inserting after section 520E-1 (as redesignated by subsection (b)) the 
following:
``SEC. 520E-2. MENTAL AND BEHAVIORAL HEALTH SERVICES ON
CAMPUS.
    ``(a) In General.--The Secretary, acting through the Director of 
the Center for Mental Health Services, in consultation with the 
Secretary of Education, may award grants on a competitive basis to 
institutions of higher education to enhance services for students with 
mental and behavioral health problems that can lead to school failure, 
such as depression, substance abuse, and suicide attempts, so that 
students will successfully complete their studies.
    ``(b) Use of Funds.--The Secretary may not make a grant to an 
institution of higher education under this section unless the 
institution agrees to use the grant only for--
        ``(1) educational seminars;
        ``(2) the operation of hot lines;
        ``(3) preparation of informational material;
        ``(4) preparation of educational materials for families of 
    students to increase awareness of potential mental and behavioral 
    health issues of students enrolled at the institution of higher 
    education;
        ``(5) training programs for students and campus personnel to 
    respond effectively to students with mental and behavioral health 
    problems that can lead to school failure, such as depression, 
    substance abuse, and suicide attempts; or
        ``(6) the creation of a networking infrastructure to link 
    colleges and universities that do not have mental health services 
    with health care providers who can treat mental and behavioral 
    health problems.
    ``(c) Eligible grant recipients.--Any institution of higher 
education receiving a grant under this section may carry out activities 
under the grant through--
        ``(1) college counseling centers;
        ``(2) college and university psychological service centers;
        ``(3) mental health centers;
        ``(4) psychology training clinics; or
        ``(5) institution of higher education supported, evidence-
    based, mental health and substance abuse programs.
    ``(d) Application.--An institution of higher education desiring a 
grant under this section shall prepare and submit an application to the 
Secretary at such time and in such manner as the Secretary may require. 
At a minimum, the application shall include the following:
        ``(1) A description of identified mental and behavioral health 
    needs of students at the institution of higher education.
        ``(2) A description of Federal, State, local, private, and 
    institutional resources currently available to address the needs 
    described in paragraph (1) at the institution of higher education.
        ``(3) A description of the outreach strategies of the 
    institution of higher education for promoting access to services, 
    including a proposed plan for reaching those students most in need 
    of mental health services.
        ``(4) A plan to evaluate program outcomes, including a 
    description of the proposed use of funds, the program objectives, 
    and how the objectives will be met.
        ``(5) An assurance that the institution will submit a report to 
    the Secretary each fiscal year on the activities carried out with 
    the grant and the results achieved through those activities.
    ``(e) Requirement of Matching Funds.--
        ``(1) In general.--The Secretary may make a grant under this 
    section to an institution of higher education only if the 
    institution agrees to make available (directly or through donations 
    from public or private entities) non-Federal contributions in an 
    amount that is not less than $1 for each $1 of Federal funds 
    provided in the grant, toward the costs of activities carried out 
    with the grant (as described in subsection (b)) and other 
    activities by the institution to reduce student mental and 
    behavioral health problems.
        ``(2) Determination of amount contributed.--Non-Federal 
    contributions required under paragraph (1) may be in cash or in 
    kind. Amounts provided by the Federal Government, or services 
    assisted or subsidized to any significant extent by the Federal 
    Government, may not be included in determining the amount of such 
    non-Federal contributions.
        ``(3) Waiver.--The Secretary may waive the requirement 
    established in paragraph (1) with respect to an institution of 
    higher education if the Secretary determines that extraordinary 
    need at the institution justifies the waiver.
    ``(f) Reports.--For each fiscal year that grants are awarded under 
this section, the Secretary shall conduct a study on the results of the 
grants and submit to the Congress a report on such results that 
includes the following:
        ``(1) An evaluation of the grant program outcomes, including a 
    summary of activities carried out with the grant and the results 
    achieved through those activities.
        ``(2) Recommendations on how to improve access to mental and 
    behavioral health services at institutions of higher education, 
    including efforts to reduce the incidence of suicide and substance 
    abuse.
    ``(g) Definition.--In this section, the term `institution of higher 
education' has the meaning given such term in section 101 of the Higher 
Education Act of 1965.
    ``(h) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $5,000,000 
for fiscal year 2005, $5,000,000 for fiscal year 2006, and $5,000,000 
for fiscal year 2007.''.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.
```