I 
114TH CONGRESS 
1ST SESSION 
H. R. 938 
To revise and extend provisions under the Garrett Lee Smith Memorial 
Act. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 12, 2015 
Mr. JOLLY (for himself and Mr. DANNY K. DAVIS of Illinois) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To revise and extend provisions under the Garrett Lee Smith 
Memorial Act. 
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 ‘‘Garrett Lee Smith Me-
morial Act Reauthorization of 2015’’. 
SEC. 2. SUICIDE PREVENTION TECHNICAL ASSISTANCE 
CENTER. 
(a) REPEAL.—Section 520C of the Public Health 
Service Act (42 U.S.C. 290bb–34) is repealed. 
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(b) SUICIDE PREVENTION TECHNICAL ASSISTANCE 
CENTER.—Title V of the Public Health Service Act (42 
U.S.C. 290aa et seq.) (as amended by subsection (a)) is 
amended by inserting after section 520B the following: 
‘‘SEC. 520C. SUICIDE PREVENTION TECHNICAL ASSISTANCE 
CENTER. 
‘‘(a) PROGRAM AUTHORIZED.—The Secretary, acting 
through the Administrator of the Substance Abuse and 
Mental Health Services Administration, shall establish a 
research, training, and technical assistance resource cen-
ter to provide appropriate information, training, and tech-
nical assistance to States, political subdivisions of States, 
federally recognized Indian tribes, tribal organizations, in-
stitutions of higher education, public organizations, or pri-
vate nonprofit organizations concerning the prevention of 
suicide among all ages, particularly among groups that are 
at high risk for suicide. 
‘‘(b) RESPONSIBILITIES OF THE CENTER.—The cen-
ter established under subsection (a) shall— 
‘‘(1) assist in the development or continuation 
of statewide and tribal suicide early intervention and 
prevention strategies for all ages, particularly among 
groups that are at high risk for suicide; 
‘‘(2) ensure the surveillance of suicide early 
intervention and prevention strategies for all ages, 
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particularly among groups that are at high risk for 
suicide; 
‘‘(3) study the costs and effectiveness of state-
wide and tribal suicide early intervention and pre-
vention strategies in order to provide information 
concerning relevant issues of importance to State, 
tribal, and national policymakers; 
‘‘(4) further identify and understand causes 
and associated risk factors for suicide for all ages, 
particularly among groups that are at high risk for 
suicide; 
‘‘(5) analyze the efficacy of new and existing 
suicide early intervention and prevention techniques 
and technology for all ages, particularly among 
groups that are at high risk for suicide; 
‘‘(6) ensure the surveillance of suicidal behav-
iors and nonfatal suicidal attempts; 
‘‘(7) study the effectiveness of State-sponsored 
statewide and tribal suicide early intervention and 
prevention strategies for all ages particularly among 
groups that are at high risk for suicide on the over-
all wellness and health promotion strategies related 
to suicide attempts; 
‘‘(8) promote the sharing of data regarding sui-
cide with Federal agencies involved with suicide 
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early intervention and prevention, and State-spon-
sored statewide and tribal suicide early intervention 
and prevention strategies for the purpose of identi-
fying previously unknown mental health causes and 
associated risk factors for suicide among all ages 
particularly among groups that are at high risk for 
suicide; 
‘‘(9) evaluate and disseminate outcomes and 
best practices of mental health and substance use 
disorder services at institutions of higher education; 
and 
‘‘(10) conduct other activities determined ap-
propriate by the Secretary. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $6,000,000 for each of the fiscal years 
2016 through 2020.’’. 
SEC. 3. YOUTH SUICIDE INTERVENTION AND PREVENTION 
STRATEGIES. 
Section 520E of the Public Health Service Act (42 
U.S.C. 290bb–36) is amended to read as follows: 
‘‘SEC. 520E. YOUTH SUICIDE EARLY INTERVENTION AND 
PREVENTION STRATEGIES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Substance Abuse and Mental 
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Health Services Administration, shall award grants or co-
operative agreements to eligible entities to— 
‘‘(1) develop and implement State-sponsored 
statewide or tribal youth suicide early intervention 
and prevention strategies in schools, educational in-
stitutions, juvenile justice systems, substance use 
disorder programs, mental health programs, foster 
care systems, and other child and youth support or-
ganizations; 
‘‘(2) support public organizations and private 
nonprofit organizations actively involved in State- 
sponsored statewide or tribal youth suicide early 
intervention and prevention strategies and in the de-
velopment and continuation of State-sponsored 
statewide youth suicide early intervention and pre-
vention strategies; 
‘‘(3) provide grants to institutions of higher 
education to coordinate the implementation of State- 
sponsored statewide or tribal youth suicide early 
intervention and prevention strategies; 
‘‘(4) collect and analyze data on State-spon-
sored statewide or tribal youth suicide early inter-
vention and prevention services that can be used to 
monitor the effectiveness of such services and for re-
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search, technical assistance, and policy development; 
and 
‘‘(5) assist eligible entities, through State-spon-
sored statewide or tribal youth suicide early inter-
vention and prevention strategies, in achieving tar-
gets for youth suicide reductions under title V of the 
Social Security Act. 
‘‘(b) ELIGIBLE ENTITY.— 
‘‘(1) DEFINITION.—In this section, the term 
‘eligible entity’ means— 
‘‘(A) a State; 
‘‘(B) a public organization or private non-
profit organization designated by a State to de-
velop or direct the State-sponsored statewide 
youth suicide early intervention and prevention 
strategy; or 
‘‘(C) a federally recognized Indian tribe or 
tribal organization (as defined in the Indian 
Self-Determination and Education Assistance 
Act) or an urban Indian organization (as de-
fined in the Indian Health Care Improvement 
Act) that is actively involved in the development 
and continuation of a tribal youth suicide early 
intervention and prevention strategy. 
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‘‘(2) LIMITATION.—In carrying out this section, 
the Secretary shall ensure that a State does not re-
ceive more than one grant or cooperative agreement 
under this section at any one time. For purposes of 
the preceding sentence, a State shall be considered 
to have received a grant or cooperative agreement if 
the eligible entity involved is the State or an entity 
designated by the State under paragraph (1)(B). 
Nothing in this paragraph shall be constructed to 
apply to entities described in paragraph (1)(C). 
‘‘(c) PREFERENCE.—In providing assistance under a 
grant or cooperative agreement under this section, an eli-
gible entity shall give preference to public organizations, 
private nonprofit organizations, political subdivisions, in-
stitutions of higher education, and tribal organizations ac-
tively involved with the State-sponsored statewide or tribal 
youth suicide early intervention and prevention strategy 
that— 
‘‘(1) provide early intervention and assessment 
services, including screening programs, to youth who 
are at risk for mental or emotional disorders that 
may lead to a suicide attempt, and that are inte-
grated with school systems, educational institutions, 
juvenile justice systems, substance use disorder pro-
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grams, mental health programs, foster care systems, 
and other child and youth support organizations; 
‘‘(2) demonstrate collaboration among early 
intervention and prevention services or certify that 
entities will engage in future collaboration; 
‘‘(3) employ or include in their applications a 
commitment to evaluate youth suicide early interven-
tion and prevention practices and strategies adapted 
to the local community; 
‘‘(4) provide timely referrals for appropriate 
community-based mental health care and treatment 
of youth who are at risk for suicide in child-serving 
settings and agencies; 
‘‘(5) provide immediate support and informa-
tion resources to families of youth who are at risk 
for suicide; 
‘‘(6) offer access to services and care to youth 
with diverse linguistic and cultural backgrounds; 
‘‘(7) offer appropriate postsuicide intervention 
services, care, and information to families, friends, 
schools, educational institutions, juvenile justice sys-
tems, substance use disorder programs, mental 
health programs, foster care systems, and other 
child and youth support organizations of youth who 
recently completed suicide; 
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‘‘(8) offer continuous and up-to-date informa-
tion and awareness campaigns that target parents, 
family members, child care professionals, community 
care providers, and the general public and highlight 
the risk factors associated with youth suicide and 
the life-saving help and care available from early 
intervention and prevention services; 
‘‘(9) ensure that information and awareness 
campaigns on youth suicide risk factors, and early 
intervention and prevention services, use effective 
communication mechanisms that are targeted to and 
reach youth, families, schools, educational institu-
tions, and youth organizations; 
‘‘(10) provide a timely response system to en-
sure that child-serving professionals and providers 
are properly trained in youth suicide early interven-
tion and prevention strategies and that child-serving 
professionals and providers involved in early inter-
vention and prevention services are properly trained 
in effectively identifying youth who are at risk for 
suicide; 
‘‘(11) provide continuous training activities for 
child care professionals and community care pro-
viders on the latest youth suicide early intervention 
and prevention services practices and strategies; 
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‘‘(12) conduct annual self-evaluations of out-
comes and activities, including consulting with inter-
ested families and advocacy organizations; 
‘‘(13) provide services in areas or regions with 
rates of youth suicide that exceed the national aver-
age as determined by the Centers for Disease Con-
trol and Prevention; and 
‘‘(14) obtain informed written consent from a 
parent or legal guardian of an at-risk child before 
involving the child in a youth suicide early interven-
tion and prevention program. 
‘‘(d) REQUIREMENT FOR DIRECT SERVICES.—Not 
less than 85 percent of grant funds received under this 
section shall be used to provide direct services, of which 
not less than 5 percent shall be used for activities author-
ized under subsection (a)(3). 
‘‘(e) CONSULTATION AND POLICY DEVELOPMENT.— 
‘‘(1) IN GENERAL.—In carrying out this sec-
tion, the Secretary shall collaborate with relevant 
Federal agencies and suicide working groups respon-
sible for early intervention and prevention services 
relating to youth suicide. 
‘‘(2) CONSULTATION.—In carrying out this sec-
tion, the Secretary shall consult with— 
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‘‘(A) State and local agencies, including 
agencies responsible for early intervention and 
prevention services under title XIX of the So-
cial Security Act, the State Children’s Health 
Insurance Program under title XXI of the So-
cial Security Act, and programs funded by 
grants under title V of the Social Security Act; 
‘‘(B) local and national organizations that 
serve youth at risk for suicide and their fami-
lies; 
‘‘(C) relevant national medical and other 
health and education specialty organizations; 
‘‘(D) youth who are at risk for suicide, 
who have survived suicide attempts, or who are 
currently receiving care from early intervention 
services; 
‘‘(E) families and friends of youth who are 
at risk for suicide, who have survived suicide at-
tempts, who are currently receiving care from 
early intervention and prevention services, or 
who have completed suicide; 
‘‘(F) qualified professionals who possess 
the specialized knowledge, skills, experience, 
and relevant attributes needed to serve youth at 
risk for suicide and their families; and 
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‘‘(G) third-party payers, managed care or-
ganizations, and related commercial industries. 
‘‘(3) POLICY DEVELOPMENT.—In carrying out 
this section, the Secretary shall— 
‘‘(A) coordinate and collaborate on policy 
development at the Federal level with the rel-
evant Department of Health and Human Serv-
ices agencies and suicide working groups; and 
‘‘(B) consult on policy development at the 
Federal level with the private sector, including 
consumer, medical, suicide prevention advocacy 
groups, and other health and education profes-
sional-based organizations, with respect to 
State-sponsored statewide or tribal youth sui-
cide early intervention and prevention strate-
gies. 
‘‘(f) RULE
OF
CONSTRUCTION; RELIGIOUS
AND 
MORAL ACCOMMODATION.—Nothing in this section shall 
be construed to require suicide assessment, early interven-
tion, or treatment services for youth whose parents or 
legal guardians object based on the parents’ or legal 
guardians’ religious beliefs or moral objections. 
‘‘(g) EVALUATIONS AND REPORT.— 
‘‘(1) EVALUATIONS BY ELIGIBLE ENTITIES.— 
Not later than 18 months after receiving a grant or 
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cooperative agreement under this section, an eligible 
entity shall submit to the Secretary the results of an 
evaluation to be conducted by the entity concerning 
the effectiveness of the activities carried out under 
the grant or agreement. 
‘‘(2) REPORT.—Not later than 2 years after the 
date of enactment of this section, the Secretary shall 
submit to the appropriate committees of Congress a 
report concerning the results of— 
‘‘(A) the evaluations conducted under 
paragraph (1); and 
‘‘(B) an evaluation conducted by the Sec-
retary to analyze the effectiveness and efficacy 
of the activities conducted with grants, collabo-
rations, and consultations under this section. 
‘‘(h) RULE OF CONSTRUCTION; STUDENT MEDICA-
TION.—Nothing in this section shall be construed to allow 
school personnel to require that a student obtain any 
medication as a condition of attending school or receiving 
services. 
‘‘(i) PROHIBITION.—Funds appropriated to carry out 
this section, section 527, or section 529 shall not be used 
to pay for or refer for abortion. 
‘‘(j) PARENTAL CONSENT.—States and entities re-
ceiving funding under this section shall obtain prior writ-
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ten, informed consent from the child’s parent or legal 
guardian for assessment services, school-sponsored pro-
grams, and treatment involving medication related to 
youth suicide conducted in elementary and secondary 
schools. The requirement of the preceding sentence does 
not apply in the following cases: 
‘‘(1) In an emergency, where it is necessary to 
protect the immediate health and safety of the stu-
dent or other students. 
‘‘(2) Other instances, as defined by the State, 
where parental consent cannot reasonably be ob-
tained. 
‘‘(k) RELATION TO EDUCATION PROVISIONS.—Noth-
ing in this section shall be construed to supersede section 
444 of the General Education Provisions Act, including 
the requirement of prior parental consent for the disclo-
sure of any education records. Nothing in this section shall 
be construed to modify or affect parental notification re-
quirements for programs authorized under the Elementary 
and Secondary Education Act of 1965 (as amended by the 
No Child Left Behind Act of 2001; Public Law 107–110). 
‘‘(l) DEFINITIONS.—In this section: 
‘‘(1) EARLY INTERVENTION.—The term ‘early 
intervention’ means a strategy or approach that is 
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intended to prevent an outcome or to alter the 
course of an existing condition. 
‘‘(2) EDUCATIONAL INSTITUTION; INSTITUTION 
OF HIGHER EDUCATION; SCHOOL.—The term— 
‘‘(A) ‘educational institution’ means a 
school or institution of higher education; 
‘‘(B) ‘institution of higher education’ has 
the meaning given such term in section 101 of 
the Higher Education Act of 1965; and 
‘‘(C) ‘school’ means an elementary or sec-
ondary school (as such terms are defined in sec-
tion 9101 of the Elementary and Secondary 
Education Act of 1965). 
‘‘(3) 
PREVENTION.—The 
term 
‘prevention’ 
means a strategy or approach that reduces the likeli-
hood or risk of onset, or delays the onset, of adverse 
health problems that have been known to lead to sui-
cide. 
‘‘(4) YOUTH.—The term ‘youth’ means individ-
uals who are between 10 and 24 years of age. 
‘‘(m) AUTHORIZATION
OF APPROPRIATIONS.—For 
the purpose of carrying out this section, there are author-
ized to be appropriated $35,500,000 for each of the fiscal 
years 2016 through 2020.’’. 
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SEC. 4. MENTAL HEALTH AND SUBSTANCE USE DISORDERS 
SERVICES AND OUTREACH ON CAMPUS. 
Section 520E–2 of the Public Health Service Act (42 
U.S.C. 290bb–36b) is amended to read as follows: 
‘‘SEC. 520E–2. MENTAL HEALTH AND SUBSTANCE USE DIS-
ORDERS SERVICES ON CAMPUS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Center for Mental Health Services and 
in consultation with the Secretary of Education, shall 
award grants on a competitive basis to institutions of 
higher education to enhance services for students with 
mental health or substance use disorders and to develop 
best practices for the delivery of such services. 
‘‘(b) USES OF FUNDS.—Amounts received under a 
grant under this section shall be used for 1 or more of 
the following activities: 
‘‘(1) The provision of mental health and sub-
stance use disorder services to students, including 
prevention, promotion of mental health, voluntary 
screening, early intervention, voluntary assessment, 
treatment, and management of mental health and 
substance abuse disorder issues. 
‘‘(2) The provision of outreach services to notify 
students about the existence of mental health and 
substance use disorder services. 
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‘‘(3) Educating students, families, faculty, staff, 
and communities to increase awareness of mental 
health and substance use disorders. 
‘‘(4) The employment of appropriately trained 
staff, including administrative staff. 
‘‘(5) The provision of training to students, fac-
ulty, and staff to respond effectively to students with 
mental health and substance use disorders. 
‘‘(6) The creation of a networking infrastruc-
ture to link colleges and universities with providers 
who can treat mental health and substance use dis-
orders. 
‘‘(7) Developing, supporting, evaluating, and 
disseminating evidence-based and emerging best 
practices. 
‘‘(c) IMPLEMENTATION OF ACTIVITIES USING GRANT 
FUNDS.—An institution of higher education that receives 
a grant under this section may carry out activities under 
the grant through— 
‘‘(1) college counseling centers; 
‘‘(2) college and university psychological service 
centers; 
‘‘(3) mental health centers; 
‘‘(4) psychology training clinics; 
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‘‘(5) institution of higher education supported, 
evidence-based, mental health and substance use dis-
order programs; or 
‘‘(6) any other entity that provides mental 
health and substance use disorder services at an in-
stitution of higher education. 
‘‘(d) APPLICATION.—To be eligible to receive a grant 
under this section, an institution of higher education shall 
prepare and submit to the Secretary an application at 
such time and in such manner as the Secretary may re-
quire. At a minimum, such application shall include the 
following: 
‘‘(1) A description of identified mental health 
and substance use disorder needs of students at the 
institution of higher education. 
‘‘(2) A description of Federal, State, local, pri-
vate, and institutional resources currently available 
to address the needs described in paragraph (1) at 
the institution of higher education. 
‘‘(3) A description of the outreach strategies of 
the institution of higher education for promoting ac-
cess to services, including a proposed plan for reach-
ing those students most in need of mental health 
services. 
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‘‘(4) A plan, when applicable, to meet the spe-
cific mental health and substance use disorder needs 
of veterans attending institutions of higher edu-
cation. 
‘‘(5) A plan to seek input from community 
mental health providers, when available, community 
groups and other public and private entities in car-
rying out the program under the grant. 
‘‘(6) A plan to evaluate program outcomes, in-
cluding a description of the proposed use of funds, 
the program objectives, and how the objectives will 
be met. 
‘‘(7) An assurance that the institution will sub-
mit a report to the Secretary each fiscal year con-
cerning the activities carried out with the grant and 
the results achieved through those activities. 
‘‘(e) 
SPECIAL
CONSIDERATIONS.—In 
awarding 
grants under this section, the Secretary shall give special 
consideration to applications that describe programs to be 
carried out under the grant that— 
‘‘(1) demonstrate the greatest need for new or 
additional mental and substance use disorder serv-
ices, in part by providing information on current ra-
tios of students to mental health and substance use 
disorder health professionals; and 
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‘‘(2) demonstrate the greatest potential for rep-
lication. 
‘‘(f) REQUIREMENT OF MATCHING FUNDS.— 
‘‘(1) IN GENERAL.—The Secretary may make a 
grant under this section to an institution of higher 
education only if the institution agrees to make 
available (directly or through donations from public 
or private entities) non-Federal contributions in an 
amount that is not less than $1 for each $1 of Fed-
eral funds provided under the grant, toward the 
costs of activities carried out with the grant (as de-
scribed in subsection (b)) and other activities by the 
institution to reduce student mental health and sub-
stance use disorders. 
‘‘(2) DETERMINATION
OF
AMOUNT
CONTRIB-
UTED.—Non-Federal contributions required under 
paragraph (1) may be in cash or in kind. Amounts 
provided by the Federal Government, or services as-
sisted or subsidized to any significant extent by the 
Federal Government, may not be included in deter-
mining the amount of such non-Federal contribu-
tions. 
‘‘(3) WAIVER.—The Secretary may waive the 
application of paragraph (1) with respect to an insti-
tution of higher education if the Secretary deter-
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mines that extraordinary need at the institution jus-
tifies the waiver. 
‘‘(g) REPORTS.—For each fiscal year that grants are 
awarded under this section, the Secretary shall conduct 
a study on the results of the grants and submit to the 
Congress a report on such results that includes the fol-
lowing: 
‘‘(1) An evaluation of the grant program out-
comes, including a summary of activities carried out 
with the grant and the results achieved through 
those activities. 
‘‘(2) Recommendations on how to improve ac-
cess to mental health and substance use disorder 
services at institutions of higher education, including 
efforts to reduce the incidence of suicide and sub-
stance use disorders. 
‘‘(h) DEFINITIONS.—In this section, the term ‘insti-
tution of higher education’ has the meaning given such 
term in section 101 of the Higher Education Act of 1965. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $7,000,000 for each of the fiscal years 
2016 through 2020.’’. 
Æ 
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