I 
116TH CONGRESS 
2D SESSION 
H. R. 7293 
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 
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. 
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 2020’’ or the ‘‘STANDUP Act of 2020’’. 
SEC. 2. FINDINGS. 
The Congress finds as follows: 
(1) Since 2010, suicide has been the second- 
leading cause of death for young people ages 10–24. 
In 2016, 6,159 young people ages 10–24 died by 
suicide. 
(2) Based on the 2017 Youth Risk Behavior 
Survey of the Centers for Disease Control and Pre-
vention (in this section referred to as ‘‘CDC’’), 7.4 
percent of youth in grades 9–12 reported that they 
made at least one suicide attempt in the past 12 
months. 
(3) While there is no complete count of suicide 
attempts in the United States, CDC data suggests 
that for every reported suicide death, approximately 
11.4 people visit a hospital for self-harm-related in-
juries. 
(4) In 2016, suicide was the 10th-leading cause 
of death overall in the United States, with over 
44,000 people dying by suicide, and there were more 
than twice as many suicides in the United States as 
there were homicides. 
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(5) Youth often display warning signs and sig-
nals before harming themselves or others. Research 
shows that 70 percent of those who die by suicide 
tell someone of their plans or give another warning 
sign. 
(6) According to the CDC, the rates of suicide 
among American Indians and Alaska Natives have 
been increasing since 2003 and are the highest of 
any racial or ethnic group in the United States. In 
addition, recent studies of CDC data from 2001 
through 2015 show that suicide rates for Black chil-
dren ages 5 through 12 were roughly two times 
higher than those of similarly aged White children. 
SEC. 3. 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 elemen-
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tary and secondary schools, including the Project AWARE 
State Education 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, 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 
student suicide awareness and prevention training policy 
implemented pursuant to subsection (a)— 
‘‘(1) shall be evidence-based; 
‘‘(2) 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; 
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‘‘(B) methods that students can use to 
seek help for themselves and others; and 
‘‘(C) student resources for suicide aware-
ness and prevention; 
‘‘(3) shall provide for retraining of such stu-
dents every school year; 
‘‘(4) may last for such period as the State edu-
cational agency, local educational agency, or tribal 
educational agency involved determines to be appro-
priate; and 
‘‘(5) may be implemented through any delivery 
method, 
including 
in-person 
trainings, 
digital 
trainings, or train-the-trainer models. 
‘‘(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, 
disaggregated by age and grade level. 
‘‘(3) The number of help-seeking reports made 
by students after implementation of such policy. 
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‘‘(d) EVIDENCE-BASED
PROGRAM
LISTING.—The 
Secretary of Health and Human Services shall coordinate 
with the Secretary of Education to make publicly available 
the policies established by State educational agencies, local 
educational agencies, and tribal educational agencies pur-
suant to this section and the training that is available to 
students and teams pursuant to such policies, including 
identification of whether such training is available to 
trainees at no cost. 
‘‘(e) IMPLEMENTATION TIMELINE.—A State edu-
cational agency, local educational agency, or tribal edu-
cational agency shall establish and begin implementation 
of the policies required by subsection (a)(1) not later than 
the beginning of the third fiscal year following the date 
of enactment of this section for which the agency receives 
funds under section 520A. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) The term ‘evidence-based’ has the meaning 
given to such term in section 8101 of the Elemen-
tary and Secondary Education Act of 1965. 
‘‘(2) The term ‘local education agency’ has the 
meaning given to such term in section 8101 of the 
Elementary and Secondary Education Act of 1965. 
‘‘(3) The term ‘State educational agency’ has 
the meaning given to such term in section 8101 of 
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the Elementary and Secondary Education Act of 
1965. 
‘‘(4) The term ‘tribal educational agency’ has 
the meaning given to such term in section 6132 of 
the Elementary and Secondary Education Act of 
1965. 
‘‘SEC. 520B–1. BEST PRACTICES FOR STUDENT SUICIDE 
AWARENESS AND PREVENTION TRAINING. 
‘‘The Secretary of Health and Human Services, act-
ing through the Assistant Secretary of the Substance 
Abuse and Mental Health Services Administration, in co-
ordination with the Secretary of 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, and related stake-
holders; 
‘‘(2) publish guidance, based on the best prac-
tices under paragraph (1), to provide State edu-
cational agencies, local educational agencies, and 
tribal educational agencies with information on stu-
dent suicide awareness and prevention best prac-
tices; 
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‘‘(3) disseminate such best practices to State 
educational 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. 4. 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. 
Æ 
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