IB 
Union Calendar No. 442 
116TH CONGRESS 
2D SESSION 
H. R. 7293 
[Report No. 116–542] 
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. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 22, 2020 
Mr. PETERS
(for himself, Mr. BILIRAKIS, Mr. DEUTCH, and Mr. 
FITZPATRICK) introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
SEPTEMBER 29, 2020 
Additional sponsors: Ms. WILD, Mr. KATKO, Mr. SOTO, Mrs. DAVIS of Cali-
fornia, Mrs. MURPHY of Florida, Ms. KUSTER of New Hampshire, Mr. 
VARGAS, Mrs. HAYES, Mr. NEGUSE, Miss RICE of New York, Mr. 
ROUDA, Ms. BLUNT ROCHESTER, Ms. BROWNLEY of California, Mr. 
TRONE, Mr. RYAN, Ms. DEGETTE, Mr. UPTON, Ms. JUDY CHU of Cali-
fornia, Mr. HARDER of California, Mr. TONKO, Mrs. DEMINGS, Mr. 
JOHNSON of Georgia, Mr. CRIST, Mr. HASTINGS, Mr. VAN DREW, Ms. 
VELA´ZQUEZ, Mr. LUJA´N, Mrs. NAPOLITANO, Ms. DEAN, Mr. SAN NICO-
LAS, Mr. ROSE of New York, Mr. LARSON of Connecticut, and Mr. 
LIPINSKI 
SEPTEMBER 29, 2020 
Reported with an amendment; committed to the Committee of the Whole 
House on the State of the Union and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on June 22, 2020] 
VerDate Sep 11 2014 
00:44 Sep 30, 2020
Jkt 099200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6652
E:\BILLS\H7293.RH
H7293
kjohnson on DSK79L0C42PROD with BILLS
A BILL 
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. 
VerDate Sep 11 2014 
00:44 Sep 30, 2020
Jkt 099200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6652
E:\BILLS\H7293.RH
H7293
kjohnson on DSK79L0C42PROD with BILLS
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 2020’’ or the ‘‘STANDUP Act of 2020’’. 
SEC. 2. STUDENT SUICIDE AWARENESS AND PREVENTION 
TRAINING. 
(a) IN GENERAL.—Title V of the Public Health Service 
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 re-
ceives such funds, directly or through a State or Indian 
Tribe, for activities to be performed within secondary 
schools, including the Project AWARE State Education 
Agency Grant Program, shall— 
‘‘(1) establish and implement a school-based stu-
dent suicide awareness and prevention training pol-
icy; 
‘‘(2) consult with stakeholders (including prin-
cipals, teachers, parents, local Tribal officials, and 
VerDate Sep 11 2014 
00:44 Sep 30, 2020
Jkt 099200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6203
E:\BILLS\H7293.RH
H7293
kjohnson on DSK79L0C42PROD with BILLS
other school leaders) in the development of the policy 
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 stu-
dent suicide awareness and prevention training policy im-
plemented pursuant to subsection (a)— 
‘‘(1) shall be evidence-based; 
‘‘(2) shall be culturally and linguistically appro-
priate; 
‘‘(3) shall provide evidence-based training to stu-
dents in grades 6 through 12, in coordination with 
school-based mental health service providers as de-
fined in section 4102(6) of the Elementary and Sec-
ondary Education Act of 1965, if applicable, regard-
ing— 
‘‘(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 awareness 
and prevention; 
VerDate Sep 11 2014 
00:44 Sep 30, 2020
Jkt 099200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6203
E:\BILLS\H7293.RH
H7293
kjohnson on DSK79L0C42PROD with BILLS
‘‘(4) shall provide for retraining of such students 
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 fol-
lowing information: 
‘‘(1) The number of student trainings conducted. 
‘‘(2) 
The 
number 
of 
students 
trained, 
disaggregated by age and grade level. 
‘‘(3) The number of help-seeking reports made by 
students after implementation of such policy. 
VerDate Sep 11 2014 
00:44 Sep 30, 2020
Jkt 099200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6203
E:\BILLS\H7293.RH
H7293
kjohnson on DSK79L0C42PROD with BILLS
‘‘(3) The term ‘State educational agency’ has the 
meaning given to such term in section 8101 of the El-
ementary 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 practices 
under paragraph (1), to provide State educational 
agencies, local educational agencies, and Tribal edu-
cational agencies with information on student suicide 
awareness and prevention best practices; 
VerDate Sep 11 2014 
00:44 Sep 30, 2020
Jkt 099200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6203
E:\BILLS\H7293.RH
H7293
kjohnson on DSK79L0C42PROD with BILLS
‘‘(3) disseminate such best practices to State edu-
cational agencies, local educational agencies, and 
Tribal educational agencies; and 
‘‘(4) provide technical assistance to State edu-
cational agencies, local educational agencies, and 
Tribal educational agencies.’’. 
SEC. 3. EFFECTIVE DATE. 
The amendments made by this Act shall only apply 
with respect to applications for assistance under section 
520A of the Public Health Service Act (42 U.S.C. 290bb– 
32) that are submitted after the date of enactment of this 
Act. 
VerDate Sep 11 2014 
00:44 Sep 30, 2020
Jkt 099200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6203
E:\BILLS\H7293.RH
H7293
kjohnson on DSK79L0C42PROD with BILLS
VerDate Sep 11 2014 
00:44 Sep 30, 2020
Jkt 099200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6203
E:\BILLS\H7293.RH
H7293
kjohnson on DSK79L0C42PROD with BILLS
Union Calendar No. 442 
116TH CONGRESS 
2D SESSION 
H. R. 7293 
[Report No. 116–542] 
A BILL 
To amend the Public Health Service Act to provide 
best practices on student suicide awareness and 
prevention training and condition State edu-
cational agencies, local educational agencies, and 
tribal educational agencies receiving funds under 
section 520A of such Act to establish and imple-
ment a school-based student suicide awareness 
and prevention training policy. 
SEPTEMBER 29, 2020 
Reported with an amendment; committed to the Com-
mittee of the Whole House on the State of the Union 
and ordered to be printed 
VerDate Sep 11 2014 
00:44 Sep 30, 2020
Jkt 099200
PO 00000
Frm 00010
Fmt 6651
Sfmt 6651
E:\BILLS\H7293.RH
H7293
kjohnson on DSK79L0C42PROD with BILLS