117TH CONGRESS 
1ST SESSION 
H. R. 586 
AN ACT 
To amend the Public Health Service Act to provide best 
practices on student suicide awareness and prevention 
training and condition State educational agencies, local 
educational agencies, and tribal educational agencies re-
ceiving funds under section 520A of such Act to establish 
and implement a school-based student suicide awareness 
and prevention training policy. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Suicide Training and 
Awareness Nationally Delivered for Universal Prevention 
Act of 2021’’ or the ‘‘STANDUP Act of 2021’’. 
SEC. 2. STUDENT SUICIDE AWARENESS AND PREVENTION 
TRAINING. 
(a) IN GENERAL.—Title V of the Public Health Serv-
ice Act is amended by inserting after section 520A of such 
Act (42 U.S.C. 290bb–32) the following: 
‘‘SEC. 520B. STUDENT SUICIDE AWARENESS AND PREVEN-
TION TRAINING POLICIES. 
‘‘(a) IN GENERAL.—As a condition on receipt of 
funds under section 520A, each State educational agency, 
local educational agency, and Tribal educational agency 
that receives such funds, directly or through a State or 
Indian Tribe, for activities to be performed within sec-
ondary schools, including the Project AWARE State Edu-
cation Agency Grant Program, shall— 
‘‘(1) establish and implement a school-based 
student suicide awareness and prevention training 
policy; 
‘‘(2) consult with stakeholders (including prin-
cipals, teachers, parents, local Tribal officials, and 
other school leaders) in the development of the pol-
icy under subsection (a)(1); and
‘‘(3) collect and report information in accord-
ance with subsection (c). 
‘‘(b) SCHOOL-BASED STUDENT SUICIDE AWARENESS 
AND PREVENTION TRAINING POLICY.—A school-based 
student suicide awareness and prevention training policy 
implemented pursuant to subsection (a)— 
‘‘(1) shall be evidence-based; 
‘‘(2) shall be culturally and linguistically appro-
priate; 
‘‘(3) shall provide evidence-based training to 
students in grades 6 through 12, in coordination 
with school-based mental health service providers as 
defined in section 4102(6) of the Elementary and 
Secondary Education Act of 1965, if applicable, re-
garding— 
‘‘(A) suicide education and awareness, in-
cluding warning signs of self-harm or suicidal 
ideation; 
‘‘(B) methods that students can use to 
seek help for themselves and others; and 
‘‘(C) student resources for suicide aware-
ness and prevention; 
‘‘(4) shall provide for retraining of such stu-
dents every school year;
‘‘(5) may last for such period as the State edu-
cational agency, local educational agency, or Tribal 
educational agency involved determines to be appro-
priate; 
‘‘(6) may be implemented through any delivery 
method, 
including 
in-person 
trainings, 
digital 
trainings, or train-the-trainer models; and 
‘‘(7) may include discussion of comorbidities or 
risk factors for suicidal ideation or self-harm, includ-
ing substance misuse, sexual or physical abuse, men-
tal illness, or other evidence-based comorbidities and 
risk factors. 
‘‘(c) COLLECTION OF INFORMATION AND REPORT-
ING.—Each State educational agency, local educational 
agency, and Tribal educational agency that receives funds 
under section 520A shall, with respect to each school 
served by the agency, collect and report to the Secretary 
the following information: 
‘‘(1) The number of student trainings con-
ducted. 
‘‘(2) The number of students trained, disaggre-
gated by age and grade level. 
‘‘(3) The number of help-seeking reports made 
by students after implementation of such policy.
‘‘(d) EVIDENCE-BASED
PROGRAM
LISTING.—The 
Secretary of Health and Human Services shall coordinate 
with the Secretary of Education to make publicly available 
the policies established by State educational agencies, local 
educational agencies, and Tribal educational agencies pur-
suant to this section and the training that is available to 
students and teams pursuant to such policies, including 
identification of whether such training is available to 
trainees at no cost. 
‘‘(e) IMPLEMENTATION TIMELINE.—A State edu-
cational agency, local educational agency, or Tribal edu-
cational agency shall establish and begin implementation 
of the policies required by subsection (a)(1) not later than 
the beginning of the third fiscal year following the date 
of enactment of this section for which the agency receives 
funds under section 520A. 
‘‘(f) DEFINITIONS.—In this section and section 
520B–1: 
‘‘(1) The term ‘evidence-based’ has the meaning 
given to such term in section 8101 of the Elemen-
tary and Secondary Education Act of 1965. 
‘‘(2) The term ‘local educational agency’ has 
the meaning given to such term in section 8101 of 
the Elementary and Secondary Education Act of 
1965.
‘‘(3) The term ‘State educational agency’ has 
the meaning given to such term in section 8101 of 
the Elementary and Secondary Education Act of 
1965. 
‘‘(4) The term ‘Tribal educational agency’ has 
the meaning given to the term ‘tribal educational 
agency’ in section 6132 of the Elementary and Sec-
ondary Education Act of 1965. 
‘‘SEC. 520B–1. BEST PRACTICES FOR STUDENT SUICIDE 
AWARENESS AND PREVENTION TRAINING. 
‘‘The Secretary of Health and Human Services, in 
consultation with the Secretary of Education and the Bu-
reau of Indian Education, shall— 
‘‘(1) publish best practices for school-based stu-
dent suicide awareness and prevention training, pur-
suant to section 520B, that are based on— 
‘‘(A) evidence-based practices; and 
‘‘(B) input from relevant Federal agencies, 
national organizations, Indian Tribes and Trib-
al organizations, and related stakeholders; 
‘‘(2) publish guidance, based on the best prac-
tices under paragraph (1), to provide State edu-
cational agencies, local educational agencies, and 
Tribal educational agencies with information on stu-