IIB 
116TH CONGRESS 
2D SESSION 
H. R. 4564 
IN THE SENATE OF THE UNITED STATES 
SEPTEMBER 22, 2020 
Received; read twice and referred to the Committee on Health, Education, 
Labor, and Pensions 
AN ACT 
To amend the Public Health Service Act to ensure the provi-
sion of high-quality service through the Suicide Preven-
tion Lifeline, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Suicide Prevention 
Lifeline Improvement Act of 2020’’. 
SEC. 2. SUICIDE PREVENTION LIFELINE. 
(a) PLAN.—Section 520E–3 of the Public Health 
Service Act (42 U.S.C. 290bb–36c) is amended— 
(1) by redesignating subsection (c) as sub-
section (e); and 
(2) by inserting after subsection (b) the fol-
lowing: 
‘‘(c) PLAN.— 
‘‘(1) IN GENERAL.—For purposes of maintain-
ing the suicide prevention hotline under subsection 
(b)(2), the Secretary shall develop and implement a 
plan to ensure the provision of high-quality service. 
‘‘(2) CONTENTS.—The plan required by para-
graph (1) shall include the following: 
‘‘(A) Quality assurance provisions, includ-
ing— 
‘‘(i) clearly defined and measurable 
performance indicators and objectives to 
improve the responsiveness and perform-
ance of the hotline, including at backup 
call centers; and 
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‘‘(ii) quantifiable timeframes to track 
the progress of the hotline in meeting such 
performance indicators and objectives. 
‘‘(B) Standards that crisis centers and 
backup centers must meet— 
‘‘(i) to participate in the network 
under subsection (b)(1); and 
‘‘(ii) to ensure that each telephone 
call, online chat message, and other com-
munication received by the hotline, includ-
ing at backup call centers, is answered in 
a timely manner by a person, consistent 
with the guidance established by the Amer-
ican Association of Suicidology or other 
guidance determined by the Secretary to be 
appropriate. 
‘‘(C) Guidelines for crisis centers and 
backup centers to implement evidence-based 
practices including with respect to followup and 
referral to other health and social services re-
sources. 
‘‘(D) Guidelines to ensure that resources 
are available and distributed to individuals 
using the hotline who are not personally in a 
time of crisis but know of someone who is. 
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‘‘(E) Guidelines to carry out periodic test-
ing of the hotline, including at crisis centers 
and backup centers, during each fiscal year to 
identify and correct any problems in a timely 
manner. 
‘‘(F) Guidelines to operate in consultation 
with the State department of health, local gov-
ernments, Indian tribes, and tribal organiza-
tions. 
‘‘(3) INITIAL PLAN; UPDATES.—The Secretary 
shall— 
‘‘(A) not later than 6 months after the 
date of enactment of the Suicide Prevention 
Lifeline Improvement Act of 2020, complete de-
velopment of the initial version of the plan re-
quired by paragraph (1), begin implementation 
of such plan, and make such plan publicly avail-
able; and 
‘‘(B) periodically thereafter, update such 
plan and make the updated plan publicly avail-
able.’’. 
(b) TRANSMISSION
OF DATA
TO CDC.—Section 
520E–3 of the Public Health Service Act (42 U.S.C. 
290bb–36c) is amended by inserting after subsection (c) 
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