I 
115TH CONGRESS 
2D SESSION 
H. R. 7103 
To authorize a pilot program under which the Secretary of Health and 
Human Services, acting through the Director of the Centers for Disease 
Control and Prevention, expands and intensifies surveillance of self- 
harm and suicidal ideation behavior in partnership with State and local 
public health departments, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 30, 2018 
Mr. DELANEY (for himself and Mr. STEWART) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To authorize a pilot program under which the Secretary 
of Health and Human Services, acting through the Di-
rector of the Centers for Disease Control and Prevention, 
expands and intensifies surveillance of self-harm and sui-
cidal ideation behavior in partnership with State and 
local public health departments, and for other purposes. 
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 Prevention 
Analytics Act of 2018’’. 
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SEC. 2. SYNDROMIC SURVEILLANCE OF SELF-HARM BEHAV-
IORS AND SUICIDAL IDEATION PROGRAM. 
Title III of the Public Health Service Act is amended 
by inserting after section 317T of such Act (42 U.S.C. 
247b–22) the following: 
‘‘SEC. 317U. SYNDROMIC SURVEILLANCE OF SELF-HARM BE-
HAVIORS 
AND 
SUICIDAL 
IDEATION 
PRO-
GRAM. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, shall carry out a pilot program, to be known as 
the Syndromic Surveillance of Self-Harm Behaviors and 
Suicidal Ideation Program, under which the Secretary ex-
pands and intensifies surveillance of self-harm and suicidal 
ideation behavior through— 
‘‘(1) the selection of State and local public 
health departments as partners in the pilot program; 
and 
‘‘(2) the provision of assistance, including an 
award of funds, to each such partner. 
‘‘(b) SELECTION.—In selecting State and local public 
health departments as partners in the pilot program under 
this section, the Secretary shall— 
‘‘(1) seek to select a diverse set of sites; and 
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‘‘(2) consider such criteria as the Secretary de-
termines to be appropriate, which criteria shall in-
clude— 
‘‘(A) population coverage; 
‘‘(B) geographical coverage; 
‘‘(C) urban and rural community represen-
tation; and 
‘‘(D) demographic makeup, including so-
cioeconomic groupings, race, gender, and eth-
nicity. 
‘‘(c) NUMBER
OF
STATE
AND
LOCAL
PUBLIC 
HEALTH DEPARTMENTS.—In carrying out the pilot pro-
gram under this section, the Secretary shall enter into and 
maintain partnerships with the following number of State 
and local public health departments: 
‘‘(1) For fiscal year 2019, 4 departments. 
‘‘(2) For fiscal year 2020, 15 departments. 
‘‘(3) For fiscal year 2021, 25 departments. 
‘‘(4) For fiscal year 2022, 35 departments. 
‘‘(5) For fiscal year 2023, 50 departments. 
‘‘(d) PERIOD OF PARTICIPATION.—To be selected as 
a partner in the pilot program under this section, a State 
or local public health department shall agree to participate 
in the program for a period of not less than 2 years. 
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‘‘(e) DATA SHARING BY HHS.—Subject to subsection 
(g), the Secretary shall, with respect to data on self-harm 
and suicidal ideation behavior that is collected pursuant 
to this section, share such data through— 
‘‘(1) the National Syndromic Surveillance Pro-
gram’s Early Notification of Community Epidemics 
(ESSENCE) platform (or any successor platform); 
or 
‘‘(2) another appropriate surveillance program. 
‘‘(f) DATA SHARING BY PARTNERS.—As a condition 
on participating in the pilot program under this section, 
subject to subsection (g), a State or local public health 
department shall agree to share in real time (to the extent 
possible) with the Centers for Disease Control and Preven-
tion data on self-harm and suicidal ideation behavior for 
purposes of— 
‘‘(1) tracking and monitoring self-harm and sui-
cidal ideation in real time to inform response activi-
ties to suicide clusters; 
‘‘(2) informing prevention programming for 
identified at-risk populations; and 
‘‘(3) conducting or supporting research. 
‘‘(g) APPLICABILITY OF PRIVACY PROTECTIONS.— 
The provisions of this section shall be subject to the re-
quirements of section 552a of title 5, United States Code. 
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All Federal laws relating to the privacy of information 
shall apply to the data and information that is collected 
under this section. 
‘‘(h) REPORTS.— 
‘‘(1) SUBMISSION.—Not later than April 30th 
of each of calendar years 2020 through 2024, the 
Secretary shall submit a report to the Congress on 
the results of the pilot program under this section 
during the previous calendar year. 
‘‘(2) CONTENTS.—Each report under para-
graph (1) shall include the following: 
‘‘(A) The specific data points captured 
under the pilot program under this section. 
‘‘(B) Challenges in implementing the pilot 
program, including with respect to data collec-
tion and reporting, at State and local public 
health departments in their first year of partici-
pation in the program. 
‘‘(C) Identification of any problems with 
implementation of the pilot program. 
‘‘(D) Potential solutions for such problems, 
including a description of the estimated costs of 
such potential solutions. 
‘‘(E) Description of any public health re-
sponse that is initiated at the Federal, State, or 
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local level in response to data collected through 
the pilot program. 
‘‘(F) Recommendations for improving pub-
lic health responses to self-harm and suicidal 
ideation incidents. 
‘‘(3) FINAL REPORT.—The final report required 
by paragraph (1) shall include recommendations 
on— 
‘‘(A) whether to reauthorize and expand 
the pilot program under this section; and 
‘‘(B) if so, how to improve the pilot pro-
gram for purposes of such reauthorization and 
expansion. 
‘‘(i) DEFINITIONS.—In this section: 
‘‘(1) The term ‘self-harm’ means any behavior 
that is self-directed and deliberately results in injury 
or the potential for injury to oneself, including non- 
lethal forms of injuries to oneself, including cutting, 
asphyxiation, overdose of drugs (including through 
the use of opioids), and gun-related injuries, either 
with or without the intent to kill oneself. 
‘‘(2) The term ‘suicidal ideation’ means think-
ing about, considering, or planning suicide. 
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‘‘(j) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated— 
‘‘(1) $500,000 for fiscal year 2019; and 
‘‘(2) such sums as may be necessary for fiscal 
years 2020 through 2023.’’. 
Æ 
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