IIB 
117TH CONGRESS 
1ST SESSION 
H. R. 586 
IN THE SENATE OF THE UNITED STATES 
MAY 13, 2021 
Received; read twice and referred to the Committee on Health, Education, 
Labor, and Pensions 
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, 
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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 
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‘‘(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; 
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‘‘(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. 
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